Official Federal Forms > Federal District > Miscellaneous
Report Of Application And-Or Order Authorizing Interception Of Communications WT-2 - Official Federal Forms
| Report Of Application And-Or Order Authorizing Interception Of Communications Form. This is a national form and can be used in Miscellaneous Federal District . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
WT-2 (Rev. 08/09) ADMINISTRATIVE OFFICE OF THE UNITED STATES COURTS (To be completed upon approval or denial of application pursuant to 18 U.S.C. 2519(1)) PART 1 (JUDGE'S REPORT) REPORT OF APPLICATION AND/OR ORDER AUTHORIZING INTERCEPTION OF COMMUNICATIONS 1. JUDGE AUTHORIZING OR DENYING THE APPLICATION County/Court/District/Jurisdiction: Court Reference No.: Judge's Name: 2. SOURCE OFFICIAL MAKING APPLICATION Official's Name: Title: (i.e., AUSA, DA, ect..) Jurisdiction/Agency: Telephone No.: 3. PROSECUTION OFFICIAL AUTHORIZING APPLICATION Prosecutor or DAAG Name: District/Jurisdiction: Prosecutor Reference No.: Telephone No.: 3A. LAW ENFORCEMENT AGENCY CONDUCTING THE WIRETAP Agency's Name: (FBI, DEA, Sheriff, etc..) Contact Person: Telephone No.: Agency Reference No.: 4. OFFENSE (MOST SERIOUS) Description (e. g., Narcotics, Gambling) 5. TYPE OF ORDER (Check Ordinary or Roving Order) ' Ordinary (Routine) Specification Order ' Roving Relaxed Specification Order under 18 U.S.C. 2518 (11) (ALSO CHECK "NO LOCATION SPECIFIED" IN ITEM 8, BELOW) 6. DURATION OF INTERCEPT Order or Extension ORIGINAL REQUEST 1st Extension 2nd Extension 3rd Extension List additional extensions on separate sheet No. of Days Date of Application Check One Denied Granted Was this Order/Extension Granted with Modification or Amendment? (Check only if "Yes") " Modified/amended DATE: " Modified/amended DATE: " Modified/amended DATE: " Modified/amended DATE: TOTAL DAYS AUTHORIZED: Date Order Denied or Granted TOTAL NUMBER OF EXTENSIONS: " WIRE INTERCEPT OF PHONE 7. TYPE OF INTERCEPT (Check all that apply to this order/authorization) " ORAL check device(s) " ELECTRONIC check device(s) COMMUNICATIONS check device(s) " Microphone / Eavesdrop " Computer (including " Other electronic E-mail) device (specify) " Cellular or mobile telephone " Other type (specify) " Standard Telephone (land line) " Digital pager " Other type of telephone communication " Fax machine device (specify) " Text messaging 8. LOCATION SHOWN IN INTERCEPT ORDER (Check all that apply to this order/authorization) " PERSONAL RESIDENCE (specify) " PORTABLE DEVICE - CARRIED BY/ON INDIVIDUAL (specify) (e.g., single family house, apartment, mobile home, rooming house, dormitory) (e.g., cell phone, pager) " BUSINESS (specify) (e.g., store, office, restaurant, gym, hospital, school) " OTHER LOCATION (specify) (e.g., motel, prison, jail, vehicle, another specified location not listed) " PUBLIC AREA (specify) (e.g., pay telephone, park, station, airport, library, street, cemetery) " NO LOCATION SPECIFIED IN ORDER (specify) (either "roving" as shown in item 5, or other circumstances. Describe.) Judge's signature: Telephone No.: Date: INSTRUCTIONS When Part 1 (Judge's Report) is completed, do the following: (1) Send a copy to one of the following: Mail Administrative Office of the U.S. Courts, Attn: Statistics Division (WT), One Columbus Circle, NE, Washington, DC 20544 Fax 202-502-1422 E-mail - SD-Wiretap@AO.USCOURTS.GOV Provide the Form WT-2 to the official making the application Retain a copy for the judge's files Telephone No.. (Area Code) (2) (3) Report Prepared By: American LegalNet, Inc. www.FormsWorkFlow.com WT-2 (Rev. 08/09) ADMINISTRATIVE OFFICE OF THE UNITED STATES COURTS PART 2 (PROSECUTOR'S REPORT) REPORT OF APPLICATION AND/OR ORDER AUTHORIZING INTERCEPTION OF COMMUNICATIONS (To be completed upon termination of investigation pursuant to 18 U.S.C. 2519(2)) JUDGE AUTHORIZING OR DENYING THE APPLICATION Judge's Name: County/Court/District/Jurisdiction: LAW ENFORCEMENT AGENCY Agency Reference No.: Prosecutor or DAAG Name: PROSECUTION OFFICIAL AUTHORIZING APPLICATION Prosecutor Reference No.: Telephone No.: NOTE: Items listed above should match information entered on Part 1 of Form WT-2. 9. INSTALLATION INSTALLED BUT NOT USED (Skip to Item 11) " " NEVER INSTALLED (Skip Items 10 through 12) 10. DESCRIPTION OF INTERCEPTS 10A. Termination Date of Interception 10B. No. of Days in Actual Use " INSTALLED AND USED (Complete Form) 10E. No. of Incriminating Communications Intercepted 10C. No. of Communications 10D. No. of Persons Whose Intercepted Communications were Intercepted 10F. Was Encryption Encountered in this Wiretap? ' Yes ' No 10G. If Yes, Did Encryption prevent Law Enforcement from Obtaining the Plain Text of Communications Interception? ' Yes ' No 11. COST Check if Applicable: " Costs for this wiretap are not reported here, but are shown on Reference Number(s): ___________________________________________ 11C Resource Cost installation fees, supplies, equipment, etc. (Round to Nearest Dollar): 11A. Nature and Quantity of Personnel Used to 11B. Personnel Cost (Round to Nearest Dollar): Install, Monitor, and Prepare Transcripts : + = 11D. Total Cost = Personnel + Resource (Round to Nearest Dollar): $ Check if Applicable: $ 12. RESULTS $ " Check here if case is pending and there are no results to report (results not reported here should be reported on the WT-3 Supplementary Report) " Arrests for this wiretap are not reported here, but are shown on Reference Number: __________ 12B. No. of Motions to Suppress Granted Denied Pending 12C. No. of Persons Convicted 12D. No. of Trials Completed 12E. Conviction Offense 12A. No. of Persons Arrested 13. COMMENTS AND ASSESSMENT Describe importance of the interceptions, drugs and money seizure amounts, impact on crime or community etc. DO NOT include target's names, addresses, phone numbers, name of gangs, or other sensitive information. Signature of Authorizing Prosecutor: Telephone No.: Date: INSTRUCTIONS When Part 2 (Prosecutor's Report) is completed, (1) Make copies for your files (2) States Only - send completed originals of Part 1 and Part 2 to one of the following: Mail Administrative Office of the U.S. Courts, Attn: Statistics Division (WT), One Columbus Circle, NE, Washington, DC 20544 Fax 202-502-1422 E-mail - SD-Wiretap@AO.USCOURTS.GOV (2A) Federal Only - submit completed copy of Part 1 and Part 2 to: Federal Law Enforcement Agency Contact Official (3) Federal Law Enforcement Agency Contact Official - send completed Part 1 and Part 2 to Office of Enforcement Operations, DOJ, Washington D.C. Report Prepared By: Telephone No. (Area Code): American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
