EFTA Document EFTA01726074

No Nys ate zr Aid 7?" , vIrt g - jar -77ec Cell /9-1(?‘ " /-eff ssit... l a ms SZe-907 1-4/4"/ Al/ fitienz.o.erat ay) /0 1/417/ S EFTA01726074 DMV Photo Subject Information Name: ClientID: !Case Number SI [DMV Transaction Number: 1069006 I[DMv Transaction Date/Time: 2019-06-05 18:36:18:690 EFTA01726075 Last tarlotect amino' 7 Request for NYS DMV PHOTO IMAGE To: New York Ops Center (NYOC) [office: 212-384-2921; fax: 212-384-4073 or 4074] Requestor Email: 1) Name & Rank of Requestor: MUST be Special Agent or other go 2) Name & Rank of Supervisor. MUST be Supervisory Special Agent or of • s 3) Subject Name: 4) 9111V Client ID # (Nine Digits): If no Client ID available. include Subject's D e one): ant Investigation 6) Exigent rcums ances (if applicable)*: Comments 7) Case number: (a)fbi.sgov.gov Scpad: Witness Investigation Missing Person Investigation 7/ 8) Phone number of Requestor: The requestor acJatowkdges that the requested image cannot be used as fibre in a photiieuray, the DMV photo may only be used in an any if the subject of the DMV photo is the subject in the photo army. Anew request or a photo image must be made for any unrelated criminal investigation. The digital image obtained will not be saved in a database stored in any manner for secondary or subsequent use unrelated to the original investigation. I hereby certify that the above-requested DMV Pboto Image b relevant to an ac t investigation and that, to the best of my knowledge, the subject of interest possesses a driver's He e, learner's permit or con (river identification card issued by the New York State DM and acknowledge that If est was de for on Impe IssIble purpose I may be subject to *When the exigent circumstances exception applies, the torruncrasnsation must idadify the typepfinvestipticra and explain the urgency. In addition, the "Request for DMV Photo Image - Exigent Corumstmccs" form must be completed and retained by the requesting agency. EFTA01726076