APPENDIX N QUARTERLY REPORT ON CRIME VICTIMS’ RIGHTS OUTCOME MEASURES Complete Form and E-mail or Fax to: email@example.com or (503) 378-6974 Grantee Agency Name: Reporting Period: Reports must be submitted for each of the quarters listed below. _____ 7/1/09 - 9/30/09 (report due 10/31/09) _____ 10/1/09 – 12/31/09 (report due 1/31/10) _____ 1/1/10 - 3/31/10 (report due 4/30/10) _____ 4/1/10 - 6/30/10 (report due 7/30/10) 1. Please describe how you distribute the “Victims’ Rights Request Form” or otherwise give your clients an easy way to request the rights that must be requested in order to be rights. 2. How many “Victims’ Rights Request Forms” did you distribute to your clients this reporting period? ____________ 3. How many completed “Victims’ Rights Request Forms” were returned to your office this reporting period? ____________ 4. How many crime victims requested each of the ten rights listed on the Request Form? # Requests Crime Victims’ Right Received This Current Process for Responding to These Reporting Requests Period (Include Agencies Involved in This Process) 1. In juvenile cases, to withhold your address and phone number from an alleged youth offender. (This right is automatic in adult criminal cases.) 2. To be notified in advance of any critical stage of the case heard open court. 3. In a violent felony case, to talk with the district attorney or juvenile department before a plea agreement is made. # Requests Crime Victims’ Right Received This Current Process for Responding to These Reporting Requests Period (Include Agencies Involved in This Process) 4. To be notified in advance about release hearings. 5. To limit the distribution of information about and recordings of sexual conduct. 6. If the crime involved the transmission of body fluids, to request HIV testing. 7. In a DUII automobile collision case, to request that information about the case that is given to the defendant is also shared with you. 8. To be notified in advance about probation revocation hearings. 9. To allow no coverage of sex offense proceedings by media television, photography or recording equipment 10. To have as a special condition of post-prison supervision that the person convicted in your case not live within three miles of your home if you were younger than 18 years old when the crime occurred (exceptions may apply). 5. Please attach a copy of current written policies or procedures your VAP office uses to inform victims of their rights and respond to their rights requests. Only submit a response to this question if you have not already done so or there are new policies or procedures.
Pages to are hidden for
"Crime Victims' Rights Outcome Measures Reporting Form"Please download to view full document