EFTA00027830.pdf
421 KB
Extraction Summary
8
People
5
Organizations
2
Locations
2
Events
3
Relationships
5
Quotes
Document Information
Type:
Questionnaire for official foreign travel (government form)
File Size:
421 KB
Summary
A 2020 travel questionnaire for an AUSA from the Southern District of New York requesting travel to Stockholm, Sweden. The purpose was to interview a Swedish witness ('Jane Doe') regarding the ongoing and sensitive investigation into Jeffrey Epstein and Ghislaine Maxwell. The traveler was accompanied by three other AUSAs and one FBI Special Agent.
People (8)
| Name | Role | Context |
|---|---|---|
| [REDACTED] | Traveler / AUSA |
Assistant United States Attorney from SDNY traveling to Sweden.
|
| Jane Doe | Witness |
Swedish national to be interviewed/debriefed.
|
| Ghislaine Maxwell | Subject of Investigation |
Listed as a subject of the investigation who is a citizen of US, UK, and France.
|
| Jeffrey Epstein | Case Subject |
Named in the case title: 'In re Jeffrey Epstein'.
|
| [REDACTED] | Co-traveler / AUSA |
Listed in Q31 as accompanying the traveler.
|
| [REDACTED] | Co-traveler / AUSA |
Listed in Q31 as accompanying the traveler.
|
| [REDACTED] | Co-traveler / AUSA |
Listed in Q31 as accompanying the traveler.
|
| [REDACTED] | Co-traveler / FBI SA |
FBI Special Agent listed in Q31 as accompanying the traveler.
|
Organizations (5)
| Name | Type | Context |
|---|---|---|
| USAO-SDNY |
United States Attorney's Office for the Southern District of New York (Traveler's office and payer).
|
|
| EOUSA |
Executive Office for United States Attorneys.
|
|
| FBI |
Employing agency of one of the co-travelers (FBI SA).
|
|
| Department of State |
Mentioned regarding passport waivers and country clearance.
|
|
| OIA |
Office of International Affairs.
|
Locations (2)
| Location | Context |
|---|---|
|
Departure address.
|
|
|
Destination for official travel.
|
Relationships (3)
Maxwell listed as subject in the case titled 'In re Jeffrey Epstein'.
Jane Doe is being interviewed in an investigation where Maxwell is a subject.
Traveler (AUSA)
→
Colleagues/Co-investigators
→
FBI SA (Redacted)
Listed as traveling together for the investigation.
Key Quotes (5)
"In re Jeffrey Epstein, USAO # 2018R01618"Source
EFTA00027830.pdf
Quote #1
"A subject of the investigation is Ghislaine Maxwell, who is believed to be a citizen of the United States, the United Kingdom, and France."Source
EFTA00027830.pdf
Quote #2
"Investigation is ongoing and very sensitive."Source
EFTA00027830.pdf
Quote #3
"Interviewing and debriefing a witness."Source
EFTA00027830.pdf
Quote #4
"Jane Doe, Swedish"Source
EFTA00027830.pdf
Quote #5
Full Extracted Text
Complete text extracted from the document (3,318 characters)
Questionnaire for Official Foreign Travel
United States Attorneys' Offices and the Executive Office for United States Attorneys
Last Revised: April 28, 2016
A separate questionnaire is required for each EOUSA/USAO employee who is traveling.
Part I. Traveler Information and Scope of Travel
Full Name: [REDACTED]
Office (e.g., EOUSA, USAO-ALN, etc.): USAO-SDNY
Position Title: AUSA
E-mail Address: [REDACTED]
Telephone Number: [REDACTED]
Departure Address (City and State): New York, New York
Departure Date (from Home or Office): 02/03/2020
Return Date (to Home or Office): 02/06/2020
Country of Birth: [REDACTED]
Place of Birth: [REDACTED]
Foreign Locations
Destination 1: Stockholm, Sweden
Q1: Are you traveling to more than four destinations? NO
Q2: Have you completed your travel reservations? YES
Q3: Have you already obtained OIA's approval? NO
Q4: Do you have an official passport that is valid for at least six months...? YES
Q5: Have you submitted a request for an official passport...? NO
Q6: Has the Department of State granted you a waiver...? NO
United States Attorneys' Offices and the Executive Office for United States Attorneys
Last Revised: April 28, 2016
A separate questionnaire is required for each EOUSA/USAO employee who is traveling.
Part I. Traveler Information and Scope of Travel
Full Name: [REDACTED]
Office (e.g., EOUSA, USAO-ALN, etc.): USAO-SDNY
Position Title: AUSA
E-mail Address: [REDACTED]
Telephone Number: [REDACTED]
Departure Address (City and State): New York, New York
Departure Date (from Home or Office): 02/03/2020
Return Date (to Home or Office): 02/06/2020
Country of Birth: [REDACTED]
Place of Birth: [REDACTED]
Foreign Locations
Destination 1: Stockholm, Sweden
Q1: Are you traveling to more than four destinations? NO
Q2: Have you completed your travel reservations? YES
Q3: Have you already obtained OIA's approval? NO
Q4: Do you have an official passport that is valid for at least six months...? YES
Q5: Have you submitted a request for an official passport...? NO
Q6: Has the Department of State granted you a waiver...? NO
[Page 2]
Q7: Do any of your destinations require a visa...? NO
Q8: Passport Type: Official, Issuing Country: USA, Passport Number: [REDACTED]
Q9: Are you traveling to a high-threat area? NO
Q10: Have you completed HTSOS training...? YES
Q11: Have you completed FACT training...? NO
Q12: What is your security clearance level? Secret
Q13: Do you plan to take any government-furnished equipment...? YES
Q14: Will any travel expenses be paid for... by a source external...? NO
Q15: Do your travel arrangements include actual lodging expenses...? NO
Q16: Do your travel arrangements include premium class travel...? NO
Q17: Have you already received country clearance...? NO
Q18: EOUSA requests eCC country clearance... Shall EOUSA request eCC clearance for you? YES
Q7: Do any of your destinations require a visa...? NO
Q8: Passport Type: Official, Issuing Country: USA, Passport Number: [REDACTED]
Q9: Are you traveling to a high-threat area? NO
Q10: Have you completed HTSOS training...? YES
Q11: Have you completed FACT training...? NO
Q12: What is your security clearance level? Secret
Q13: Do you plan to take any government-furnished equipment...? YES
Q14: Will any travel expenses be paid for... by a source external...? NO
Q15: Do your travel arrangements include actual lodging expenses...? NO
Q16: Do your travel arrangements include premium class travel...? NO
Q17: Have you already received country clearance...? NO
Q18: EOUSA requests eCC country clearance... Shall EOUSA request eCC clearance for you? YES
[Page 3]
Part II. General Questions Applicable to All Foreign Travel
Q20: Who is paying for the travel? USAO- SDNY
Q21: If foreign embassy personnel... consulted... N/A
Q22: If U.S. Embassy... involved... N/A
Q23: If assistance from U.S. Embassy... required... N/A
Q24: If the assistance of a stenographer... required... N/A
Q25: Please include any other comments... N/A
Q26: I am traveling... To a Country Other Than Canada on a Judicial Assistance Matter (Complete Part IV)
Part II. General Questions Applicable to All Foreign Travel
Q20: Who is paying for the travel? USAO- SDNY
Q21: If foreign embassy personnel... consulted... N/A
Q22: If U.S. Embassy... involved... N/A
Q23: If assistance from U.S. Embassy... required... N/A
Q24: If the assistance of a stenographer... required... N/A
Q25: Please include any other comments... N/A
Q26: I am traveling... To a Country Other Than Canada on a Judicial Assistance Matter (Complete Part IV)
[Page 4]
Part III. [Blank]
Part IV. Additional Questions for Travel to Countries Other Than Canada on Judicial Assistance Matters
Q31: Please provide the names... of the individuals traveling abroad with you...
AUSA [REDACTED]
AUSA [REDACTED]
AUSA [REDACTED]
FBI SA [REDACTED]
Q32: Please provide the case name, USAO number, and court docket number.
In re Jeffrey Epstein, USAO # 2018R01618
Q33: What is the nature of the case...? Investigation is ongoing and very sensitive.
Part III. [Blank]
Part IV. Additional Questions for Travel to Countries Other Than Canada on Judicial Assistance Matters
Q31: Please provide the names... of the individuals traveling abroad with you...
AUSA [REDACTED]
AUSA [REDACTED]
AUSA [REDACTED]
FBI SA [REDACTED]
Q32: Please provide the case name, USAO number, and court docket number.
In re Jeffrey Epstein, USAO # 2018R01618
Q33: What is the nature of the case...? Investigation is ongoing and very sensitive.
[Page 5]
Q34: What is the purpose of travel? Interviewing and debriefing a witness.
Q35: Please list the names... of persons to be interviewed... Jane Doe, Swedish
Q36: Is the prosecution of a foreign national foreseen? A subject of the investigation is Ghislaine Maxwell, who is believed to be a citizen of the United States, the United Kingdom, and France.
Q37: Is a host country government official to be deposed...? No.
Q38: Have foreign authorities... cleared the visit...? Yes.
Q34: What is the purpose of travel? Interviewing and debriefing a witness.
Q35: Please list the names... of persons to be interviewed... Jane Doe, Swedish
Q36: Is the prosecution of a foreign national foreseen? A subject of the investigation is Ghislaine Maxwell, who is believed to be a citizen of the United States, the United Kingdom, and France.
Q37: Is a host country government official to be deposed...? No.
Q38: Have foreign authorities... cleared the visit...? Yes.
[Page 6]
Part V. [Blank]
Part V. [Blank]
[Page 7]
[Blank/Instructions]
[Blank/Instructions]
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