BP-A0308
JAN 17

# ADMINISTRATIVE DETENTION ORDER

U.S. DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS

NEW YORK MCC

# ADMINISTRATIVE DETENTION ORDER (cont.)

NEW YORK MCC
Institution

Date/Time: 07-29-2019 12:21

TO: Special Housing Unit Officer
FROM: <empty> , (Name/Title)
SUBJECT : Placement of EPSTEIN, JEFFREY EDWARD , Reg. No. 76318-054 , in Administrative Detention

[x] (a) Is pending an investigation for a violation of Bureau regulations;
[ ] (b) Is pending an SIS investigation.
[ ] (c) Is pending investigation or trial for a criminal act;
[ ] (d) Is to be admitted to Administrative Detention

[ ] (1) Since the inmate has requested admission for protection;

I hereby request placement in Administrative Detention for my own protection.

Inmate Signature/Register No.: <empty>
Staff Witness Printed Name Signature: <empty>

[ ] (2) Since a serious threat exists to individual's safety as perceived by staff, although person has not requested admission; referral of the necessary information will be forwarded for an appropriate hearing by the SRO.

[ ] (e) Is pending transfer or is in holdover status during transfer.
[ ] (f) Is pending classification; or
[ ] (g) Is terminating confinement in Disciplinary Segregation and has been ordered into Administrative Detention by the Warden's designee.

# ADMINISTRATIVE DETENTION ORDER (cont.)

It is this Correctional Supervisor's decision based on all the circumstances that the above named inmate's continued presence in the general population poses a serious threat to life, property, self, staff, other inmates, or to the security or orderly running of the institution because*

PENDING UDC FOR CODE 228 SELF-MUTILATION

Therefore, the above named inmate is to be placed in Administrative Detention until further notice. The inmate received a copy of this Order on

(date/time)

Staff Witness Signature/Printed Name_

Date

Supervisor 24 hour review of placement: Signature/Printed name_

*In the case of DHO action, reference to that order is sufficient. In other cases, the Correctional supervisor will make an independent review and decision, which is documented here.

Record Copy-Inmate Concerned (not necessary if placement is a result of holdover status); Copy - Captain; Copy - Unit Manager, Copy - Operation Supervisor -Administrative Detention Unit; Copy -Psychology: Copy - Central File

PDF

Prescribed by P5270

(Replaces BP-A0308 of JAN 88.)

EFTA00036341