Full Text
STATEMENT OF APPLICANT
I certify that I am authorized to act as the legal representative of [REDACTED].
I request that I be allowed to interview and correspond with Jeffrey Epstein, Federal Register Number 76318-054, who is confined at the MDC/MCC.
I am aware of my responsibility as a representative of the above-named attorney and certify that I am able to meet this responsibility. I am also aware of the Bureau of Prisons' Policy on Inmate Legal Activities and certify that I am able to and will adhere to the requirements of this policy. I pledge to abide by Bureau of Prisons regulations and institution guidelines.
I hereby certify that all of the information contained in this questionnaire is true and correct to the best of my knowledge. Furthermore, I understand that all information contained in this questionnaire may be investigated and verified through the use of federal, state and local authorities.
Applicant's printed name: [REDACTED]
Applicant's signature: [REDACTED]
Date Completed: July 22, 2019
Private Investigators must submit a copy of their Private Investigators Certificate and Private Investigator's photo identification.
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Revised 2/01/08