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UNCLASSIFIEDIILAW ENFORCEMENT SENSITIVE (When Completed) <br />Additional Points of Contact <br />Title Name <br />T e of Contact... Phone Number Extension Email Address <br />Title Name <br />Type of Contact Phone Number Extension Email Address <br />Title Name <br />s of Contact Phone Number Extension Email Address <br />Detention Facility Review (DFR) Acknowledgment <br />l acknowledge that l have completed DFR training within the last 365 days and I have a current USM-222. Additional <br />Duty Designation, designating me as a Detention Facility Reviewer, <br />Deention Pacill!j Reviewer Title Date <br />SDUSM Title Date <br />CDUSM/USM - _ _ Title Date <br />NOTICE; This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTIAL information <br />which is for the sole use of the intended recipient(s). Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended <br />recipient, please contact the sender and destroy all copies of this document. Any Protected Health Information contained in this document is to be used <br />only to aid in providing healthcare services to federal prisoners. Any other use is a violation of Federal HIPAA Law and/or the Privacy Act and will be <br />reported as such. <br />UNCLASSIFIEDIILAW ENFORCEMENT SENSITIVE (When Completed) <br />Form USM-218 <br />Page 27 of 27 Rev. 02125 <br />