Fillable Delegation of Apprehension Responsibility/Case Referral (Department of Justice)

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Delegation of Apprehension Responsibility/Case Referral (Department of Justice)

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Form USM-560
Rev. 10/17
Page of
LAW ENFORCEMENT SENSITIVE
U/LES
U.S. Department of Justice
United States Marshals Service
Delegation of Apprehension Responsibility/Case Referral
INSTRUCTIONS: Form USM-560 should be used by law enforcement agencies wishing to delegate primary apprehension
responsibility for a federal or non-federal fugitive to the United States Marshals Service, pursuant to
Fugitive Investigations, Class II Warrants.
DESCRIPTIVE INFORMATION
FUGITIVE NAME
ALIAS(ES)
DATE(S) OF BIRTH SEX
PLACE(S) OF BIRTH RACE
SOCIAL SECURITY NUMBER(S) HEIGHT
FBI NUMBER(S) WEIGHT
STATE ID NUMBER(S) HAIR COLOR
NADDIS NUMBER(S) EYE COLOR
SCARS, MARKS & TATTOOS
LAST KNOWN ADDRESS(ES)
TELEPHONE NUMBERS (PAGER,
CELL PHONE, LANDLINE, ETC.)
REASON FOR CAUTION
(VIOLENT HISTORY, SUICIDAL,
MEDICAL CONDITIONS, ETC.)
IDENTIFICATION DOCUMENTS
TYPE NUMBER STATE/COUNTRY DATE/PLACE OF ISSUANCE
DRIVER'S LICENSE
PASSPORT
ALIEN NUMBER A#: IMMIGRATION STATUS:
VEHICLE INFORMATION
COLOR, MAKE, MODEL, YEAR VIN # LICENSE PLATE # / STATE
ASSOCIATES
RELATIONSHIP NAME DOB ADDRESS/TELEPHONE
SPOUSE
CHILDREN
FATHER
MOTHER (MAIDEN NAME)
SIBLINGS
Directive 8.5,
USMS Policy
Form USM-560
Rev. 10/17
Page of
U/LES
LAW ENFORCEMENT SENSITIVE
FUGITIVE NAME:
WARRANT INFORMATION
WARRANT NUMBER FULL
LIMITED NO EXTRADITION
DATE OF WARRANT
CHARGE
ISSUING COURT, CITY, STATE
DATE OF OFFENSE
COURT CASE #
AGENCY CASE #
BRIEF DESCRIPTION OF OFFENSE
OTHER CASE TYPES
OCDETFHIDTA
OCDETF CASE #:
ADDITIONAL INFORMATION (INCLUDE ANY KNOWN INFORMATION REGARDING E-MAIL, FACEBOOK, OTHER SOCIAL NETWORKS, ETC):
STATE CASES
YES NOIS THERE ANY OTHER FEDERAL AGENCY WORKING THIS CASE?
IF YES, WHAT AGENCY?
YES NOIS THERE A UFAP?
IF YES, CASE #:
CASE AGENT INFORMATION
CASE AGENT NAME/TITLE CASE AGENT CELL PHONE
CASE AGENCY E-MAIL ADDRESS
BY MY SIGNATURE BELOW, I HEREBY REQUEST THAT THE UNITED STATES MARSHALS SERVICE ASSUME (check all that apply):
PRIMARY APPREHENSION RESPONSIBILITY
RESPONSIBILITY FOR ENTRY OF A WANTED PERSON RECORD INTO THE NATIONAL CRIME INFORMATION CENTER (NCIC)
**THIS NCIC ENTRY MAY ONLY BE USED BY FEDERAL AGENCIES COVERED UNDER AN MOU WITH THE USMS**
FOR THE ABOVE-REFERENCED FUGITIVE.
SIGNATURE OF REQUESTING AGENT DATE SIGNATURE OF APPROVING USMS SUPERVISOR DATE
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Delegation of Apprehension ResponsibilityCase Referral (Department of Justice)

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Completed 7 August 2020

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