EPSTEIN
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8/14/2019
EFTA00123086
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EFTA00123087
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EFTA00123088
--- SOURCE: VOL00009__IMAGES__0009__EFTA00123089.txt ---
METADATA_SOURCE: VOL00009IMAGES0009
METADATA_FILENAME: EFTA00123089.pdf
----------------------------------------
Form 583 Report of Incident
Type Of Incident
K Assault On Inmate
K Assault On Staff
K Assault, Attempted On Inmate
K Assault, Attempted On Staff
K Disruptive Behavior
K Escape From Non-secure Facility
K Escape From Secure Facility
K Escape, Attempted From Non-secure Facility
K Escape, Attempted From Secure Facility
K Fight
K Inmate Death
K Institution Disturbance
K Introduction Of Contraband
K Lethal Weapons Discharge
K Self Mutilation
K Setting A Fire
K Sexual Act, Non-consensual On Inmate
K Sexual Assault On Staff
K Sexual Contact, Abusive On Inmate
K Sexual Harassment, Repetitive
K Staff Homicide
K Strike, Food
K Strike, Work
K Suicide Attempt
K Use Of Force
K Use Of Force/Applications Of Restraints
K Use of Restraints, Pregnant/Postpartum
Method: Hanging/Asphyxiation
Incident #: NYM-19-
Submitted By:
0082
Date/Time Of Incident: 8/10/2019 6:33 AM
Section 1: General Information
Staff Aware Date: 8/10/2019 6:33 AM
FBI Notified: Yes
USMS Notified: Yes
Indicate Where Incident Occurred: Main Facility
Location Level 1: SHU
Level 2: Housing Unit, Special (SHU)
Level 3: 9 SOUTH SHU
Institution Locked Down: Yes
Modified Operations: No
Cause Of Incident Known? No
Cause Of Incident
K Alcohol
K Commissary
K Debts
K Disrespect Issue
K Drugs
K Ethnic Conflict
K Food Issue
K Geographical Conflict
K Interfering with Staff duties
K Property Issue
K Racial Conflict
K Recreation Equipment
K Religious Issue
K Security Threat Group Conflict
K Sexual Pressure
K Sporting Events
K
Telephone
K Theft
K Visiting
K Work Issue
Section 2: Inmates Involved
UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE
This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper
attribution, to active Law Enforcement, DOD. or U.S. Intelligence Agencies. This document, or any segmenUattachment thereof, may
not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general
public or those without a -need to know." It contains information that may be exempt from public release under the provisions of the
Privacy Act (5 U.S.C. 552).
of 3
SDNY_00013430
EFTA00123089
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Form 583 Report of Incident
Incident #: NYM-19-
Submitted By:
0082
Date/Time Of Incident: 8/10/2019 6:33 AM
Reg #: 76318054
Name: EPSTEIN, JEFFREY
Role: Not Known
Medical Attention Required: Outside
Injury Category: Fatal Injury
Weapon (per inmate): No
Use of Force (per inmate): No
Chemical Used (per inmate): No
CIMS: No
STG: Yes
Restraints (per inmate): Escort Only
Death (per inmate):
No
Section 3: Others Involved
Name:
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No
Name:
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No
Name:
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No
Name:
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No
Name:
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No
Name:
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No
Name: Noel, Tova
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No
Person Type: Staff
Death: No
Staff Injury by Inmate: No
Person Type: Staff
Death: No
Staff Injury by Inmate: No
Person Type: Staff
Death: No
Staff Injury by Inmate: No
Person Type: Staff
Death: No
Staff Injury by Inmate: No
Person Type: Staff
Death: No
Staff Injury by Inmate: No
Person Type: Staff
Death: No
Staff Injury by Inmate: No
Person Type: Staff
Death: No
Staff Injury by Inmate: No
UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE