Fact Witness Travel Request (Domestic Witness Travel) AUSA, see instructions below. To: SDNY Victim/Witness Unit From: Date: July 19, 2021 Re: United States v. Ghislaine Maxwell Court Docket No: 20 Cr. 330 (AN) USA° No: 2018R01618 Witness Name: Witness DOB: (Name/DOB as printed here will be forwarded to travel agency and then to TSA and must exactly match the witness's driver's license or other travel ID or TSA will not permit the witness to fly.) Witness Address: Witness TelNos (mobile): Witness e-mail: Witness Needed to Appear in SDNY on Date: Time: 1 p.m. Witness Needed to Appear for: Trial ( ) Date: Grand Jury ( ) Date: Trial/GJ Prep (X ) Date: Estimated Dates Witness will Arrive: Depart: at 1 p.m. Is the person a Fact Witness and not an Expert Witness? (Yes/No): Yes Current Federal Civilian or Military Employee? (Yes/No): No Is the Witness Facing Criminal Charges? (Yes/No): No Does the Witness Reside Outside the Continental United States? (Yes/No): No Is this Witness a Victim-Witness? (Yes/No): No Hotel Required? (Yes/No): Yes Has the Witness advised you of any unusual travel expenses? (Yes/No): No Unusual expenses of fact witnesses can include • special travel arrangements • care for dependent child or incapacitated family member left at home rev. 2019.11.19 EFTA00019654