Seattle, Washington FBI Bureau File - Paperless Archives

FD-515 (Rev. 11-10.Q5)
~ Squad supervisor approval
~ (please initial)
Accomplishment involves:
(check all that apply)
Drugs 0
A Fugitive 0
Bankruptcy Fraud D
Computer Fraud/Abuse 0
Corruption of Public Officials 0
Money Laundering D
Sub InvestAsst by FO (s) 0
Ass!. FO(s) -. -. _. -
I , A. B. C. D
Task Force
•
Accomplishment Report
(Accomplishment must be reported and loaded into ISRAA
within 30 days from date of accomplishment)
•
Data
Investigative Assistance or Technique Used
i-Used. but did not help
3 - Helped. substantially
2 -Helped. minimally 4 - Absolutely essential
For Sub. Invest. Assist. by other FO (s) indicate A.B.C.D for corresponding FO
IAT
Assisting Agencies x °
1.
2.
A. Complaint /Information /In!!.Idtrnellt
o Federal ~ocal
Complaint Date: -z!o"--'-----
Inform~ltioJ!lID;ate: _.'-"_-;::='L-':::"_'
B. Arrest
o Federal D Local D International
Subject Priority: 0 A D B D C
Locate Date: ___ _
Arrest Date: ________ _
o Subject Resisted Arrest
D Subject Arrested was Armed
C. Summons Date: _______ __
o Federal D Local
D. Recovery/Restitution/PELP X
o Federal D Local D International
Recovery Date:
Code 0 __ .1 Amount $. ____ _
Code 0 __ ./ Amount $. ____ _
Restitution Date: _______ _
D Court Ordered D Pretrial Diversion
Code 0 __./ Amount $ _____
PELP Date: ___________
Code • __ .1 Amount $ ____ _
E. Hostage(s) Released Date: ____ _
Released by: 0 Terrorist 0 Other
Number of Hostages: ______ _
Subject Information·
F. Conviction
D Federal D Local D International
Conviction Date: ________
Subject Description COde: __ o( __)o
For SF. G. H-Include Agency Code
D Felony or D Misdemeanor
D Plea or D Trial
State: ____ Judicial District: ____
G. U.S. Code Vlolatio.n
Required for sections A.B.F.and J
(Federal Only)
ntle Section # Counts
H. Sentence Date: _________
Sentence Type: __,__•__ 0
in Jail: Years ___ Months
Suspended: Years ___ Months ___
Probation: Years ___ Months __
Fines: $ ______________
I. Dlsruption/Dlsmantlement:.1
Disruption Date: _______ _
Dismantlement Date: ______ _
Also Complete "Section G"
Other Civil Matters Date: _____ _
Judgment __ _ _____ "
Judicial Outcome __ __
Amount $, ___________ _
Suspension: Years __ Months __ _
K. Administrative Sanction Date: ___ __
Subject Description Code __"
Type:
Length:
D Suspension D Permanent
Debarment or
D Injunction Year __ Months ___
L. Asset Seizure D'ate: _______ _
Asset Forfeiture Date: ______ _
. CATS # Mandatory ______ _
Circle below one of the three asset forfeiture:
Admin, Civil Judicial, or Criminal
Do not indicate $ value In Section D
M. Acquittal/Dismissal/Pretrial Diversion
(circle one) Date: ________ _
N. Drug Seizures .I Date: _____ _
Code 0 ___________ _
.. ~.~ .... -------Codeo _____ __
Do not indicate $ value in Section D
O. Child Victim Information
Child located/identified Date: _____
D Deceased
For
only:
D Subject related to an LCN. Asian Organized Crime (AOC). Italian Organized Crime (IOC). Russian/Eastern European. Caribbean. or Nigerian Organized Crime Group -
Complele FD·515a. Side 1 Blocks A·E mandatory. F-H as appropriate.
D Subject related to an OC/Drug Organization. a VCMO Program National Gang Strategy target group. or a VCMO Program National Priority InllIative target group -
x Additional information may be added by attaching another form or a plain sheet of paper for additional entries.
• See codes on reverse side. ,
. .! Requires that an explanation be attached and loaded into ISRAA for recovery over $1m and PELP over $5, disruption, dismantlement, and drug seiZUres.