New York State Intelligence Center

Latham, New York 12110

New York State

NYSIC

Intelligence Center

Main: <empty>
FAX: <empty>
Toll-free: <empty>

# REQUEST FOR INFORMATION FORM

DATE & TIME OF REQUEST
MEMBER/ANALYST ASSIGNED
RICS Control #: <empty>
Rank: <empty>
Received/Entered By: <empty>
Last Name: <empty>
Date: <empty>
Time: <empty>
Tax / SS#: <empty>

## REQUESTOR'S INFORMATION

Agency Name and ORI: NY03030C9
Command/Unit: Child Exploit T/F
Investigation Type: Sex Trafficking
Workplace (Full Address): 26 Federal Plaza, New York, NY 10278
Last Name: <empty>
First Name: <empty>
Rank/Title: Detective
Tax # NYPD Only: <empty>
SSN: <empty>
Date of Appointment: 08/30/1993
Office #: <empty>
Fax #: <empty>
Pager/Cell#: <empty>
Pin: <empty>
TZS/Pet. Of Occ.: <empty>
Compl#: <empty>
Case#: 31E-NY-302870
Conferred w/ Requestor Date: <empty>
Time: <empty>
Supervisor's Rank/Full Name: LT <empty>
Phone Number: <empty>

## SUBJECT INFORM TION

Last Name: <empty>
First Name: <empty>
Middle: <empty>
Aliases: <empty>

DOB: <empty>
Age: <empty>
Sex <empty>
Race <empty>
POB: <empty>
Gang Name: <empty>

Bldg# <empty>
Street: <empty>
Apt: <empty>
City: <empty>

State: <empty>
ZIP Code: <empty>
Tel# <empty>
SSN# <empty>

Driver License#: <empty>
State/Country: <empty>
Arrest: <empty>

FBI#: <empty>
NYSID#: <empty>
Other State SID#: <empty>

## BUSINESS LOCATION & FINANCIAL INFORMATION

Business Name: <empty>
Bldg: <empty>
Street: <empty>

City: <empty>
State: <empty>
Zip Code: <empty>
Tel#: <empty>

Last Name: <empty>
First Name: <empty>
(Circle One) Owner/Mgr/Employee: <empty>

Tax ID#: <empty>
Financial Institution: <empty>
Account Type: <empty>

VEHICLE INFORMATION
Plate #: <empty>
State/Country: MA
Year: 19
Make: CHEV
Model: <empty>
No. Doors/Body Style: <empty>
Color: Gray
VIN#: <empty>

REMARKS

What have you (Requestor) done?:<empty>

What needs to be done by NYSIC personnel?
I am requesting the assistance of the NYSP regarding a CIAS check as well as NYSP , LPR's,.

EMAIL Request to NYSIC: ciu@nysic.ny.gov OR

EFTA00038391

FAX Request to NYSIC: [REDACTED] (You MUST call [REDACTED] to verify that your FAX was received!)

EFTA00038392