Fact Witness Travel Request (Domestic Witness Travel) AUSA, see instructions below. To: SDNY Victim/Witness Unit From: AUSA Date: January 10, 2020 Re: United States v. Ghislaine Maxwell Court Docket No: N/A (grand jury investigation) USA° No: 2018R01618 Witness Name: Witness DO (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 wily) Witness Address: Witness TelNos (mobile): Witness e-mail: Witness Needed to Appear in SDNY on Witness Needed to Appear for: Trial ( ) Date: Grand Jury ( ) Date: Trial/GJ Prep ( X ) Date: Estimated Dates Witness will Arrive: Depart: Date: January 14, 2020 Time: 3:30 PM January 14, 2020 January 13, 2020 January 15, 2020 Is the person a Fact Witness and not an Expert Witness? Current Federal Civilian or Military Employee? Is the Witness Facing Criminal Charges? Does the Witness Reside Outside the Continental United States? Is this Witness a Victim-Witness? Hotel Required? Has the Witness advised you of any unusual travel expenses? Unusual expenses of fact witnesses can include • special travel atrangements (Yes/No): Yes (Yes/No): No (Yes/No): No (Yes/No): No (Yes/No): No (Yes/No): Yes (Yes/No): No rev. 2019.11.19 EFTA00082699