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a UNITED SLALBS DELP AK LIVIN LE Ul 9. ALU UNITED STATES MARSHALS SERVICE . SOUTHERN DISTRICT OF NEW YORK ARRESTEE INFORMATION Before any arrestee can be processed by the USMS any and all medical problems/conditions must be dectared. This form must be completed for each arrestee and given to the responding USMS personnel before the arrestee ou be received for processing. Arrestee name: A tf ia al Lé x” Does arrestee have a prior federal arrest? Circle: NO If yes, please list the arrestee’s USMS number. a If you cannot identify USMS number, please provide arrest information (HE: Mate, arresting agency, location) OF . e Arrestee’s representation for this days proceeding: (Circle) Ai CJA” Fetained tuberculosis, HIV, AIDS, hepatitis etc.)? Circle: NO Does arrestee require medication/medical atfention for this condition? Circle: VES gent, currently possess at least one days dosage of the arrestee’s medication? aXe a . . i Sys ADS, era_clicestorn ot ay . ov Se omplesgn ory ben PELE open eg mevtines ‘ A la MRE Ral ha "eat oe Does arrestee require tnedicat F@ Jp attenti St nb Gondifion Lae SE haepepead Do you, as the arresting agent, currently possess at least one days dosage of the ee medication? Circle) YES NO Does arrestee ‘have any ‘ong term médical ‘condition : so" {to include: heart problems diabetes, asthma,- Explain: Is the arrestee a drug addict/user? Circle: YES £ If yes, does this require any special medica Sean (IE: methadone treatment)? Explain: professional? Circle: O (Please attach) Do you, as the es ae possess a medical clearance/fit for confinement letter from a healthcare Ss . ARRESTEE PROCESSING CHECKLIST Please check when completed 1. Have you completed any and all USMS paperwork. . To include: USMS 312 (Please fill out all forms as completely as possible) Vai Attached a photo of arrestee to paperwork. bs. Fingerprint cards *| for USMS file *| for the FB! for FPC classification ____ WG. Fitled out and attached the BOP-9. ____ +5. Strip searched arrestee. 6. Yaken any : : AGENCY: <e\ / RIG 4 CONTACT # WHILE IN THIS BUILDING: es +4s4NOTE F Pr Be advised, the USMS provides the COURTESY of holding and producing arrestee prior to the arrestee’s magistrate court appearance. However, the arrestee is not considered a USMS prisoner until a U.S. Magistrate Judge REMANDS said arrestee to USMS custody. This means that as the arresting agent, you must be available at all times to respond fo any and all matters concerning your arrestee, as you are the responsible party, United States Marshals Service Potiey and Procedures Manual 5.¢-1.fa) 1 FBI(19-cv-1495)-2092