Seattle, Washington FBI Bureau File - Paperless Archives

t;;ljV.11-10.o5)
Squad supervisor approval
(please initial)
Accomplishment involves:
(check all that apply)
Drugs 0
•
Accomplishment Report
(Accomplishment must be reported and loaded into ISRAA
within 30 days from date of accomplishment)
•
Dale Prepared ~::Vi~7.:l~,..~
Date Loaded -:SY~~~/'1~
I
Data Loader's
File Number Investigative Assistance or Techntque Used
1-Used. but did not help
3 - Helped, substantially
2 -Helped, minimally . 4 -Absolutely essential
A Fugitive 0 For Sub. Invest. Assist. by other FO (5) indicate A.B.C.D for corresponding FO
Stat Agent Sog Seg No
Bankruptcy Fraud 0
Computer Fraud/Abuse 0
Corruption of Public Officials 0
Money Laundering 0
Sub InvestAsst by FO (s) 0
Asst. FO(s) -' -' -, -
I A. B, C. 0
Task Force
Assisting Agencies x·
1.
2.
A.
Locate/ 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 D Local
D. Recovery/Restitutlon/PELP X
o Federal D Local 0 International
Recovery Date: :--_______ _
Code 0 __ .1 Amount $, ____ _
Code 0 __ .1 Amount $, ____ _
Restitution Date:
o Court Ordered
0 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
o Federal 0 Local 0 International
ConvIction Date: ___________
Subject Description COde: ___ 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)
Title Section # Counts
H. Sentence Date: _________
Sentence Type: __•__•__ e
In Jail: Years ___ Months __
Suspended: Years ___ Months ___
Probation: Years ___ Months __
Fines: $ ___________________
I. Disruptlon/Dlsmantlement:.t
Disruption Date: ________ _
Dismantlement Date: ______ _
Completion of FD·515a Side 2 Mandatory
J. Civil Rico Matters Date: _____ _
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 $ value in Section 0
M. Acquittal/Dismissal/PretrIal DiversIon
(circle one) Date: ________ _
N. Drug SeizuresI' Date:,;,., _____ _
Drug Code e _________ _
Weight _____ Code 0 ____ _
FDIN __ ~ ______ _
Do not indicate $ value in Section 0
O. Child Victim Information
Child locatedRdentified Date: ____ _
o Living o Deceased
to an • Asian Organized Crime (AOC), Italian Organized Crime (IOC). Russian/Eastern European. Caribbean. or Nigerian Organized Crime Group -
Complete FD-515a. Side 1 BlocksA·E mandatory. F·H as appropriate.
D Subject related to an OC/Drug 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 •
.! Requires that an explanation be attached and loaded into ISRAA for recovery over $1 m and PELP over $5. disruption, dismantlement. and drug seizures.