Federal Bureau of Investigation Victim Services Division Epstein Briefing RSVP Please fill out the following form and return to the emailbox b Full Name: :lute ;‘)::,: „:, Phone Number: Click here to enter phone nuiT16,_, Address 1: Click here to enter address 1 City: Click here to enter city State: Click here to enter state Citizenship: ck here to enter citizenship Email Address: Click here to enter email address Social Security Number: Click here to enter SSN Address 2: Click here to enter address 2 Zip: Click here to enter zip Country of Birth: Click here to enter country of birth If you have spoken with a FBI Victim Specialist, please provide their name: Click here to enter VS name Can you attend? Yes, I will attend K No, I cannot attend If yes, which location will you attend? You are authorized to bring one support person. Will you be bringing a support person with you to the briefing? Yes, I will bring one support person No, I will not bring a support person Will you need travel arrangements? Yes, I will need travel arrangements No, I will not need travel arrangements If yes, which mode of transportation do you prefer? Air Bus Rail _ Mileage reimbursement (if you are utilizing your own vehicle) Only economy, roundtrip fares and one checked luggage bag per person will be authorized. You will be responsible for any incidental charges incurred such as in-flight snacks, Pay-Per-View, Wi-Fi, etc. Date of Birth (required by airlines): Click here to enter date of birth Preferred time of travel: c. here to enter preferred time of travel Airport of origin: Click here to enter departure airport name Do you require lodging? Only two nights of lodging will be authorized and only hotel room cost and tax will be authorized. You will be required to provide a credit card for incidental charges upon check in. You will be responsible for any incidental charges incurred such as snacks, mini bar, Pay-Per-View, phone charges, etc. — Yes,