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

Key information from the image:

*   **Title:** Form 583 Report of Incident Regarding Jeffrey Epstein
*   **Approved By:** SSA
*   **Case ID #:** 90A-NY-3151227
*   **Subject:** 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

EFTA00035747