EFTA00010022

Fact Witness Travel Request (Domestic Witness Travel) AUSA, see instructions below.

Re: United States v. Ghislaine Maxwell Court Docket No: 20 Cr. 330 (AN) USA° No: 2018R01618 Witness Name: Witness DOB: (Name/DOB as printed here will be forwarded to travel agency and then to TSA and must exactly match the witness's driver's license or other travel ID or TSA will not permit the witness to fly.) Witness Address: Witness TelNos mobile Witness e-mail: Witness Needed to Appear in SDNY on Date: December 1, 2021 Time: 2 p.m. Witness Needed to Appear for: Trial (X) Date: December 1, 2021

Grand Jury ( ) Date:

Trial/GJ Prep ( ) Date: Estimated Dates Witness will Arrive: December I, 2021 Depart: December 3, 2021 (evening) Is the person a Fact Witness and not an Expert Witness? Current Federal Civilian or Military Employee? Is the Witness Facing Criminal Charges? Does the Witness Reside Outside the Continental United States? Is this Witness a Victim-Witness? (Yes/No): Yes (Yes/No): No (Yes/No): No (Yes/No): No (Yes/No): No m•. 2019.11.19

Hotel Required? (Yes/No): Yes Has the Witness advised you of any unusual travel expenses? (Yes/No): No Unusual expenses offact witnesses can include • special travel arrangements • care for dependent child or incapacitatedfamily member left at home • kennelfeesfor pets • necessary travel companion • extra baggage (more than one bag) Please describe the unusual expense: For Victim-Witness Coordinator: I. (For UEFW other than travel, which must be itemized and approved in advance:) This UEFW is apparently within VWC approval authority and tentatively approved pending receipt(s) for UEFW expenses (Yes/No):

2. Other VWC comments: VWC Initials and Date: Instructions to AUSA: • Use this form for all fact witnesses within the U.S. except government employees and military personnel, for whom a Request for Armed Forces or Government-Employee Witness should be used. • For foreign witnesses, use the International Witness Travel Request. Complete an Early or Extended stay memo if the witness is being brought in more than 3 business days prior to court/C1 testimony. • Witnesses may only be brought in under the FEWS appropriation for grand jury testimony that has been scheduled and where the witness is expected to testify before the grand jury; court testimony; or preparation for same. Any other witness travel, e.g., for investigative interviews, must be covered by the investigating component from litigative funds. • See generally DOJ Instruction 1300.01.01 (approved 9/28/2018) and sources referenced therein. rev. 2019.11.19