Seattle, Washington FBI Bureau File - Paperless Archives

FD·515 (Rev. 11-10"()5)
~ Squad supervisor approval
~ (please initial)
•
Accomplishment involves:
(check all that apply)
Drugs
D
A Fugitive
D
Bankruptcy Fraud D
Computer Fraud/Abuse D
Corruption of Public Officials D
Money Laundering D
Sub InvestAsst by FO (5) D
Ass!. FO(s) ...., ...., -, -
I . A, B, C, 0
Task Force
Accomplishment Report
(Accomplishment must be reported and loaded into ISRAA
within 30 days from date of accomplishment)
•
Date
Prepared .......;::W:,...;~"....;,
Date Loaded --=9-I-#-:;..q..Itt!.
Data Loader's
I File Number Investigative Assistance or Technique Used
1·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
Stat Agent Sog Seg Ng
Assisting Agencies X"
1.
2.
A. Complaint I Information Ilnclictmen!,.'"
D Federal ~ocal
Information
B. Arrest
D Federal D Local D International
Subject Priority: DAD B D C
Locate Date: ___ _
Arrest Date: _______ _
D Subject Resisted Arrest
D Subject Arrested was Armed
C. Summons Date: ________ _
DFederal D
D. Recovery/Restitution/PELP X
D Federal D Local D International
Recovery Date: _________ _
Code 0 __ .1' Amount $, ____ _
Code " __ .I' Amount $ ____ _
Restitution Date:
D Court Ordered
D Pretrial Diversion
Code 0 __ .1' Amount $ ____ _
PELP Date:
Code 0 __ .1' Amount $:....... ___ _
E. Hostage(s) Released Date:
Released by: 0 Terrorist D Other
Number of Hostages: ______ _
D Federal D Local D International
Conviction Date: _______ _
Subject Description Code: ___ ·( __ )"
For 6F, G, H·lnclude Agency Code
D Felony or D Misdemeanor
D Plea or D 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: __,__•__"
In Jail: Years ____ Months __
Suspended: Years ___ Months ___
Probation: Years ___ Months ___
Fines:
I. Disruption/Dismantlement:.!'
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:
D Suspension D Permanent
D Debarment
or
D 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 Seizures .t Date: ____ _
Drug Code • _____ _
Weight ____ Code 0 _____ _
FDIN __________ _
Do not indicate $ value In Section 0
O. Child Victim Information
Child locatedlidentified Date: ____ _
D Living
D Deceased
only:
related 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 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 •
.;t Requires that an explanation be attached and loaded Into ISRAA for recovery over $1 m and PELP over $5, disruption, dismantlement, and drug seizures.