FD-1036 (Rev. 10-16-2009)

# UNCLASSIFIED

OFFICIAL RECORD

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# FEDERAL BUREAU OF INVESTIGATION
Import Form

Form Type: OTHER - Other Date: 10/03/2019

| Field | Value |
|---|---|
| Title | (U) Form 583 Report of Incident Regarding Jeffrey Epstein |
| Form Type | OTHER - Other |
| Date | 10/03/2019 |
| Synopsis | (U) On August 14, 2019, DIG SA provided the Form 583 Report of Incident from August 10, 2019, regarding Jeffrey Epstein. |
| Approved By | SSA [REDACTED] |
| Drafted By | [REDACTED] |
| Case ID # | 90A-NY-3151227 |
| Classification / Subjects | (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION |

Synopsis: (U) On August 14, 2019, DIG SA rovided the Form 583 Report of Incident from August 10, 2019, regarding Jeffrey Epstein.



UNCLASSIFIED

SDNY_00017811

EFTA00036064