Seattle, Washington FBI Bureau File - Paperless Archives

FD·515 (Rev. 11·10-05)
~Squad supervisor approval
~ (please initial)
•
Accomplishment Report
(Accomplishment must be reported and loaded into ISRAA
within 30 days from date of accomplishment)
•
Date
Prepared ---,:;;:..t~::-7
Date Loaded __ r..y:....e:.~...,
Data Loader's
Accomplishment involves:
(check all that apply) I File Number Investigative Assistance or Technique Used
1·Used, but did not help
3 " Helped, substantially
Drugs 0
2 ·Helped, minimally 4 • Absolutely essenUal
A Fugitive 0 For Sub. Invest. Assist. by other FO (s) indicate A,B,C,D for corresponding FO
Bankruptcy Fraud 0 Stat Agent Soc. Sec. No.
Computer Fraud!Abuse 0
Corruption of Public Officials 0
Money laundering 0
Sub InvestAsst by FO (5) 0
Ass!, FO(s) -' -, -, -
I _ A. B. C, D
Task Force
Stat Agent Name
Assisting Agencies x·
1.
2,
A. Complaint !Information !lndlct!!}e1'lt
o Federal ~Local
Complaint Date: __-;;,:!!:-____
B.
Check if Civil
Information
D Local D International
Subject Priority: 0 A D B D C
Locate Date: _________ _
Arrest Date: ________ _
o Subject Resisted Arrest
o Subject Arrested was Armed •
C. Summons Date: ________ _
o Federal D Local
D. Recovery/Resfifution/PELP X
o Federal D Local D International
Recovery Date:
Code 0 __ .1 Amount $ ____ _
Code 0 __ .1 Amount $ ____ _
Restitution Date: _______ _
o Court Ordered
D Pretrial Diversion
Code 0 __ .1 Amount $, ___ _
PELP Date: _________ _
Code 0 __ .1 Amount $, ____ _
E. Hostage(s) Released Date: ____ _
Released by: 0 Terrorist 0 Other
Number of Hostages: ______ _
F. Conviction
D Federal D Local D International
Conviction Date:
Subject Description Code: ____ 0( __ )0
For 6F. G. H·lnclude Agency Code
o Felony or D Misdemeanor
o Plea or D Trial
State:
Judicial District: ____
G. U.S. Code Violation
Required for sections A.B.F.and J
(Federal Only)
TItle Section # Counts
H. Sentence Date:
Sentence Type: __•__•__•
In Jail: Years ___ Months __
Suspended: Years ___ Months ___
Probation: Years ___ Months __
Fines: $ _____________
I, Dlsruptlon/Dlsmantlement:.1
Disruption Date: _______ _
Dismantlement Date: ______ _
Completion of FD·515a Side 2 Mandatory
Also Complete "Section G"
Other Civil Matters Date: _____ _
Judgment ________ 0
Judicial Outcome ________ ox
Amount $
Suspension: Years __ Months ___ _
K. Administrative Sanction Date: ____
Subject Description Code ___•
Type:
Length:
Suspension D Permanent
Debarment or
o Injunction Year __ Months __
L. Asset Seizure o'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: _____ _
Drug Code 0 ____ _
Weight ____ Code 0 _____ _
FDIN __________ _
Do not indicate $ value In Section 0
O. Child Victim Information
Child locatedlidentified Date: _____
o Living 0 Deceased
For
D
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 OC/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 sheet of paper for additional entries.
• See codes on reverse side .
. ,f Requires that an explanation be attached and loaded into ISRAA for recovery over $1 m and PELP over $5. disruption, dismantlement. and drug seizures.