EFTA01650819Set 10
3p1,069w
because of this crime? (If no. skip to 12)
Who received counseling, Relationship to Victim Insurance company billed for counseling Policy or I0
Counselors name. address and phone #
Who else ... received counseling? Relationship to Victim Insurance company billed for counseling Policy or ID #
Counselors name, address and phone #
If more than 2 people received counseling because of this clime. check
https://www.justice.gov/epstein/files/DataSet%2010/EFTA01650819.pdf