Full Text
Epstein VCP
EPSTEIN VCP
Claim ID:
DOJ REDACTION
Epstein Victims' Compensation Program
For Victims-Survivors of Sexual Abuse by Jeffrey Epstein
SM I am a licensed attorney or other representative authorized to represent and/or act on behalf of the Claimant identified herein, for purposes of this claim for compensation.
Claimant Signature:
DOJ REDACTION
Printed Name:
First
DOJ REDACTION
Middle
DOJ REDACTION
Last
Date 6/26/2020
Notary Signature:
State of Florida
County of Broward
The foregoing instrument was subscribed and sworn before me this 26th day of June ,20 20 by
DOJ REDACTION
My Commission expires 11/29/2021
Affix Seal Here:
Signature of Notary Deborah Cifra
Date June 26, 2020
2 of 2
Epstein Victims' Compensation Program
Attn: Jordana H. Feldman, Administrator
1050 Connecticut Ave. NW #65488 Washington, D.C. 20035
13
DOJ-OGR-00015172