EFTA00010221

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

Re: United States v. Ghislaine Maxwell Court Docket No: 20 Cr. 330 USA° No: 2018R01618 Witness Nam Witness DOB (Name/DOB as printed here will beforwarded to travel agency and then to TSA and must exactly match the witness's driver's license or other travelID or TSA will not permit the witness lofty.) Witness Address: Witness TelNos (mobile): Witness e-mail: Witness Needed to Appear in SDNY on Date: December 5, 2021 Time: 5 PM Witness Needed to Appear for: Trial ( ) Date: December 5, 2021

Grand Jury ( ) Date:

Trial/GJ Prep ( X ) Date: Estimated Dates Witness will Arrive: December 5, 2021 Depart: December 8, 2021 Is the person a Fact Witness and not an Expert Witness? (Yes/No): Yes Current Federal Civilian or Military Employee? (Yes/No): No Is the Witness Facing Criminal Charges? (Yes/No): No Does the Witness Reside Outside the Continental United States? (Yes/No): No Is this Witness a Victim-Witness? (Yes/No): No 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 rev. 2019.11.19

• 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/al 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 inves • • • iews, must be covered by the investigating component from litigative funds. See • See generally DOJ Instruction 1300.01.01 (approved 9/28/2018) and sources referenced therein. rev. 2019.11.19