Attestation/Signature Page for Epstein Victims' Compensation Program Claim Form: DOJ-OGR-00015171

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This document is an attestation and signature page for claimants to the Epstein Victims' Compensation Program, certifying the truth and accuracy of their claim and authorizing the program to process and evaluate their claim. It includes acknowledgments of confidentiality and potential penalties for false statements. The document is to be signed, notarized, and submitted to the program administrator, Jordana H. Feldman.

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Source

Dept. of Justice

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File: doj-ogr-00015171

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