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Page 1054 oe NOTICE OF DISCIPLINE HEARING BEFORE THE (DHO) U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS MCC NY Institution DATE: 07/30/2019 To: EPSTEIN, JEFFREY EDWARD Reg. No.; 76318-054 ALLEGED VIOLATION(S): Tattooing or Self-Mutilation DATE OF OFFENSE: 07/23/2019 Code No.: 228 You are being referred to the DHO for the above charge(s). The hearing wil be held on: mG= at_____————__(A.MJP.M.) at the following tocation: You are entitled to have a full-time staff member represent you at the hearing. Please indicate below whether you desire to have a staff representative, and If so, his or her name. I (do) (do not) wish to have a staff representative. If so, the staff representative's nameis: - You will also have the right to call witnesses at the hearing and to present documentary evidence in your behalf, provided, calling your witnesses will not jeopardize institutional safety. Names of witnesses you wish to call should be listed below. Briefly state to what each proposed witness would be able to testify. I (do) (do not) Vv wish to have witnesses. NAME: , Can Testify to: NAME: ah Testify to: NAME: , Can Testify to: The Discipline Hearing Officer will call those witnesses (Staff or Inmate) who are reasonable available, and who are determined by the DHO to have information relevant to the charge(s). Repetitive witnesses and repetitive character references need not be called. Unavailable witnesses may be asked to submit written statements. | additional space is needed, use the reverse side of this form. Date, sign, and return fF pate: NBC WA SIGNATURE: Notece of hearing before DHO given inmate | g form to the DHO. — Date/Time (biG); (DTC) Replaces BP-294(52) of JAN 88 DOJ-OGR-00025277