{
  "document_metadata": {
    "page_number": "2 of 2",
    "document_number": "DOJ-OGR-00015172",
    "date": "June 26, 2020",
    "document_type": "Epstein Victims' Compensation Program Claim Form",
    "has_handwriting": true,
    "has_stamps": false
  },
  "full_text": "Epstein VCP\nEPSTEIN VCP\nClaim ID:\nDOJ REDACTION\nEpstein Victims' Compensation Program\nFor Victims-Survivors of Sexual Abuse by Jeffrey Epstein\nSM I am a licensed attorney or other representative authorized to represent and/or act on behalf of the Claimant identified herein, for purposes of this claim for compensation.\nClaimant Signature:\nDOJ REDACTION\nPrinted Name:\nFirst\nDOJ REDACTION\nMiddle\nDOJ REDACTION\nLast\nDate 6/26/2020\nNotary Signature:\nState of Florida\nCounty of Broward\nThe foregoing instrument was subscribed and sworn before me this 26th day of June ,20 20 by\nDOJ REDACTION\nMy Commission expires 11/29/2021\nAffix Seal Here:\nSignature of Notary Deborah Cifra\nDate June 26, 2020\n2 of 2\nEpstein Victims' Compensation Program\nAttn: Jordana H. Feldman, Administrator\n1050 Connecticut Ave. NW #65488 Washington, D.C. 20035\n13\nDOJ-OGR-00015172",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Epstein VCP\nEPSTEIN VCP\nEpstein Victims' Compensation Program\nFor Victims-Survivors of Sexual Abuse by Jeffrey Epstein",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "I am a licensed attorney or other representative authorized to represent and/or act on behalf of the Claimant identified herein, for purposes of this claim for compensation.",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "SM",
      "position": "margin"
    },
    {
      "type": "printed",
      "content": "Claimant Signature:\nPrinted Name:\nFirst\nMiddle\nLast\nDate",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "6/26/2020",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Notary Signature:\nState of\nCounty of",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "Florida\nBroward",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "The foregoing instrument was subscribed and sworn before me this\n day of ,20 by\nMy Commission expires\nAffix Seal Here:\nSignature of Notary\nDate",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "26th\nJune\n20\nDeborah Cifra\nJune 26, 2020",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "2 of 2\nEpstein Victims' Compensation Program\nAttn: Jordana H. Feldman, Administrator\n1050 Connecticut Ave. NW #65488 Washington, D.C. 20035",
      "position": "footer"
    },
    {
      "type": "printed",
      "content": "13\nDOJ-OGR-00015172",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [
      "Jeffrey Epstein",
      "Jordana H. Feldman",
      "Deborah Cifra"
    ],
    "organizations": [
      "Epstein Victims' Compensation Program",
      "DOJ"
    ],
    "locations": [
      "Florida",
      "Broward County",
      "Washington, D.C."
    ],
    "dates": [
      "June 26, 2020",
      "11/29/2021"
    ],
    "reference_numbers": [
      "DOJ-OGR-00015172"
    ]
  },
  "additional_notes": "The document contains redactions marked 'DOJ REDACTION'. The notary seal is missing."
}