Seattle, Washington FBI Bureau File - Paperless Archives

D;:ji.11-10..()5}
Squad supervisor approval
(please initial)
Accomplishment Involves:
(check all that apply) I File Number I
Drugs 0
•
Accomplishment Report
(Accomplishment must be reported and loaded into ISRAA
within 30 days from date of accomplishment)
•
Date
Prepared ~::>?ir-=~-{
Date Loaded -..!L./..!ff:::"::;':..J;:
Data Loader's
Investigative Assistance or Technique Used
1-Used. but did not help
3 - Helped. substantially
2 -Helped. minimally . 4 • Absolutely essential
sk- ~Z' -.::p~
A Fugilive 0 For Sub. Invest. Assist. by other FO (s) indicate A.B.C.D for corresponding FO
Stat Agent SOC SeQ NO
Bankruptcy Fraud 0
Computer Fraud/Abuse 0
Corruption of Public Officials 0
Money Laundering 0
Sub InvestAsst by FO (s) 0
Ass!. FO(s) -. -. -. -
I . A. B. C. 0
Task Force
Assisting Agencies X"
1.
2.
A. Complaint /Information /lndlc!!J1eilt
o Federal ~ocal
Complaint Date: -;rl'~----.-.­
Check if Civil ~iC;DComlplalnt
Arrest
o Federal 0 Local 0 International
Subject Priority: 0 A 0 B 0 C
Locate Date: ___ _
Arrest Date:
o Subject Resisted Arrest
o Subject Arrested was Armed
C. Summons Date: ___ _
o Federal 0 Local
D. Recovery/Restitution/PELP X
o Federal 0 Local 0 International
Recovery Date: . ____ _
Code " __ ./ Amount $ ____ _
Code 0 __ ./ Amount $ ____ _
Restitution Date:
o Court Ordered 0 Pretrial Diversion
Code 0 __./ Amount $ ______
PELP Date: __________
Code 0 __ ./ Amount $ ____ _
E. Hostage(s) Released Date: ____ _
Released by: 0 Terrorist 0 Other
Number of Hostages:
F. Conviction
o Federal 0 Local 0 International
Conviction Date: _______ _
Subject Description COde: ___ o( __ )o
For 6F. G. H-Include Agency Code
o Felony or 0 Misdemeanor
o Plea or 0 Trial
State: ______ Judicial District: ___ _
G. U.S. Code Violatio.n
Required for sections A.B.F.and J
(Federal Only)
litle Seclion # Counts
H. Sentence Date: _________
Sentence Type: __•__•__ e
In Jail: Years ___ Months ___
Suspended:
Probation:
Fines:
Years ____ Months
Years ___ Months ___
$ _____________________
I. Dlsruption/Dlsmantlement:'/
Disruption Date: ________ _
Dismantlement Date: ______ _
Completion of FD-515a Side 2 Mandatory
Also Complete "Section G"
Other Civil Matters Date: ________ '
Judgment __
Judicial Outcome __ __
Ox
Amount $, __________
Suspension: Years ___ Months __ _
K. Administrative Sanction Date: ____
Subject Description Code ___"
Type:
Length:
Suspension 0 Permanent
Debarment
or
o Injunction Year __ Months __
L Asset Seizure Date: _______ _
Asset Forfeiture Date:
. CATS # Mandatory _______ _
Circle below one of the three asset forfeiture:.
Admin, Civil Judicial, or Criminal
Do not indicate $ valu'e in Section D
M. Acquittal/Dismissal/Pretrial Diversion
(circle one) Date: ________ _
N. Drug Seizures ./ Oate:, _____ _
Drug Code e _________ _
Weight ____ Code 0 ____ _
FDIN __________ _
Do not indicate $ value in Section 0
O. Child Victim Information
Child locatedfldentified Date: ____ _
o Living o Deceased
only:
o
to an LCN. Asian Organized Crime (AOC). Italian Organized Crime (IOC), Russian/Eastern European. Caribbean. or Nigerian Organized Crime Group·
Complete FD-515a. Side 1 Blocks A·E mandatory. F·H as appropriate.
D Subject related to an CC/Drug Organization. a VCMO Program National Gang Strategy target group. or a VCMO Program National Priority Initiative target group·
x Additional information may be added by attaching another form or a plain shea! of paper for additional entries.
• See codes on reverse side .
./ Requires that an explanation be attached and loaded into ISRAA for recovery over $1 m and PELP over $5, disruption. dismantlement. and drug seizures.
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