Seattle, Washington FBI Bureau File - Paperless Archives

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FD-515 (Rev. 12-19-06)
D
Squad supervisor approval
(please initial) ,
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Accomplishment Report
(Accomplishment must be reported and loaded into
ISRAA within 30 days from date of accomplishment)
Investigative Assistance or Technique Used
Date Prepared -;;:::EJ.~~7;;-;;;
Date Loaded --'':....../-=-=--/;:;-./
Date Loader's """'~'"""-~(_
Accomplishment involves:
(check all that apply) I File Number I
1. Used, but did not help 3. Helped, substantially
Drugs 0 rr.c-~t=- '7"3-s::f-&
2. Helped, minimally 4. Absolutely essential
A Fugitive 0 I Stat Agent SOc SeG NQ
Bankruptcy Fraud 0
Computer Fraud/Abuse 0
Corruption of Public Official 0
Money Laundering 0
Sub Invest Asst by FO(s) 0 H Stat Aoea t NaMp
lASS\. FO(s) ____ I
A. B. C. D.
Task Force
Assisting Agencies x -
1.
2.
RA
I~I
ASSisting Agents Soc. Sec. No. x
1.
Name:
2.
Name:
For Sub. Invest. Assist. by other FO(s) indicate A, B, C, 0 for corresponding FO
JAT
b7C
A. Complaint /Informatlon/lndictment
o Federal 0 Local 0 Intemational
Complaint Date: ________ _
Check if Civil Rico Complaint 0
Information Date: ________ _
Indictment Date: ________ _
B. Locate / Arrest
o Federal 0 Local 0 Intemational
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 e __ ./ Amount $ ____ _
Restitution Date: _________
o Court Ordered 0 Pretrial Diversion
Code-__ ./ Amount $ _____
PELP Date: __________
Code -__ ./ Amount $
E. Hostages(s) Released Oate: ____ _
Released by: 0 Terrorist 0 Other
Number of Hostages: _______ _
o Misdemeanor
or o Trial
Judicial District: ___
G. U.S. Code Violation
Required for sections A, B, F
(Federal Only)
# Counts
/'''".,'' ____ Months-
Years- Months __ _
$----------
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 _________ ex
Amount $ ____________ _
Suspension: Years __ Months __ _
K. Administrative Sanction Date: ____
Subject Description Code ___-
Type:
Length:
§
Suspension
Debarment
Injunction
o Permanent
or
Year __ Months __
L. Asset Seizure Date: _______ _
Asset Forfeiture Oate: ______ _
CATS # Mandatory ______ _
Circle below one of the three asset forfeiture:
Admin, Civil JudiCial, or Criminal
Do not indicate $ value In Section 0
M. Acquittal/ Olsmissall Pretrial Diversion
(Circle one) Date: _______ _
N. Drug Seizures./ Oate: _____ _
DrugCode-_______ ~_------__
Weight
Code e _____
FDIN ___________
Do not indicate $ in Section D
O. Child Victim Information
Child located / identified Date: ______
o Living o Deceased
blocks E, I, Land N
o
For IndtctmentsiConvlctlons only:
o Subject .. laled 10 an LCN. Asian Organized Crime (AOC). nahan Organized Crime (IOC). RusslanlEa.lem European. Canbbean. or Nigerian Olll'lniz.ed Crime Group.
Complele F[)'515a. Sid. 1 Blocks A·E mandalory. F-H as approprialo.
Program Nali.nal Gang Sitology tatgolgroup. or a VCMO Program Nalional Priorily loiUalivo .. rgel groupx
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 m, disruption, dismantlement, and drug seizures.