EFTA00033865.pdf

BP-A0308
JAN 17
ADMINISTRATIVE DETENTION ORDER
U.S. DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS

NEW YORK MCC
Institution
Date/Time: 07-29-2019 12:21

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

✓ (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.: __________________________________________________
Staff Witness Printed Name Signature: __________________________________________________

_____(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.

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.)

CONFIDENTIAL
SDNY_00009518
EFTA00033865