Seeking Potential Victims in Columbia, South Carolina

Seeking Potential Victims in Columbia, South Carolina

The FBI is seeking to identify potential victims related to allegations at an overnight child care center in Columbia, South Carolina between January 2016 and July 2018. If you are an adult caretaker of a child and received a notification letter, please complete this brief questionnaire. Your responses are voluntary but would be useful in the federal investigation. Based on the responses provided, you may be contacted by the FBI and asked to provide additional information. The FBI is legally mandated to identify victims of federal crimes that it investigates and provide these victims with information, assistance services, and resources.

Contact Information

First Name

Middle Name

Last Name

Address Line 1

Address Line 2

City

State

Country

ZIP/Postal Code

Best Contact Number

E-Mail Address

Relationship to potential victim(s): (Parent, guardian, grandparent, etc.)

Questions

1. Did your child stay overnight at the Lee Road Child Development Center on Fort Jackson in Columbia, South Carolina anytime between January 1, 2016 and July 31, 2018?

Yes
No

2. If yes, please provide the following information for each child:

Name of Child 1:

Current Age of Child 1:

First Date Child 1 Stayed Overnight:

Last Date Child 1 Stayed Overnight:

Name of Child 2:

Current Age of Child 2:

First Date Child 2 Stayed Overnight:

Last Date Child 2 Stayed Overnight:

Name of Child 3:

Current Age of Child 3:

First Date Child 3 Stayed Overnight:

Last Date Child 3 Stayed Overnight:

Name of Child 4:

Current Age of Child 4:

First Date Child 4 Stayed Overnight:

Last Date Child 4 Stayed Overnight:

For additional children, please provide the requested information in the box below:

characters remaining

Privacy Act Statement

The FBI is authorized to collect the information on this form by one or more of the following provisions: Title 28, United States Code, sections 533 and 534; Title 28, Code of Federal Regulations, section 0.85; and the Attorney General Guidelines for Victim and Witness Assistance. The information requested will assist the FBI in providing you with assistance to which crime victims are entitled under federal law. You do not have to provide the requested information; however, failure to do so may hinder the FBI in providing you with crime victim assistance. The information collected on this form is protected by the Privacy Act of 1974, as amended, Title 5, United States Code section 552a, and is maintained in the FBI’s Central Records System, DOJ/FBI-002, a description of which was published in the Federal Register at 63 Fed. Reg. 8671 (Feb. 20, 1998) and which may be viewed at www.justice.gov/opcl/privacyact.html#doj.

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Seeking Potential Victims in Columbia, South Carolina

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