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  • Cg6095.pdf. Victim Reporting Preference Statement

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Es Code and Chapter 55 of Title 10, United States Code. PRINCIPAL PURPOSE(S): Information on this form will be used to document elements of the sexual assault response and/or reporting process and comply with the procedures set up to effectively manage the sexual assault prevention and response program. ROUTINE USE(S): None. DISCLOSURE: Completion of this form is voluntary; however, failure to complete this form with the information requested impedes the effective management of care and support.

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How to fill out the CG6095.pdf. Victim Reporting Preference Statement online

The CG6095.pdf. Victim Reporting Preference Statement is an important document that helps to outline your reporting preferences regarding incidents of sexual assault within the U.S. Coast Guard. This guide provides clear, step-by-step instructions to assist you in accurately completing the form online.

Follow the steps to effectively fill out the Victim Reporting Preference Statement.

  1. Click ‘Get Form’ button to obtain the CG6095.pdf. Victim Reporting Preference Statement and open it in the editor.
  2. Begin by reviewing the Privacy Act Statement included on the first page. This section outlines the authority, principal purposes, and routine uses for the information you are about to provide.
  3. In section 1, provide your full name where indicated. Read the information regarding reporting processes and options discussed with an Employee Assistance Program Coordinator (EAPC), Sexual Assault Response Coordinator (SARC), Family Advocacy Specialist (FAS), Health Care Provider (HCP), or Victim Advocate (VA).
  4. Choose between ‘Unrestricted Reporting’ and ‘Restricted Reporting’. Initial next to your chosen option to indicate your preference. Make sure you understand the implications of each choice.
  5. For an Unrestricted Report, ensure that you understand that law enforcement and your command will be notified. If you select Restricted Reporting, acknowledge that your information will not initiate an investigation, and only specific individuals will have access to your details.
  6. Fill in the incident number as assigned by the Work-Life Information Management System or create one as specified in the guidelines.
  7. In section 4, sign and date the required fields where indicated. Ensure all signatures are completed by both you and the individual who explained your options.
  8. If you choose to change your reporting preference from Restricted to Unrestricted, follow the instructions in section 5, signing and dating as required.
  9. After completing the form, review all entries for accuracy. Once satisfied, you can proceed to save changes, download, print, or share the CG6095.pdf.

Complete your CG6095.pdf. Victim Reporting Preference Statement online today to ensure your voice is heard.

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DD Form 2965, "Defense Sexual Assault Incident Database (DSAID) Data Form"

The DD Form 2911 records the findings of the Sexual Assault Forensic Examination (SAFE) and is part of the SAFE kit. Fifty-Year Retention of Forms Related to Reports of Sexual Assault sapr.mil https://.sapr.mil › sites › default › files sapr.mil https://.sapr.mil › sites › default › files

Under Unrestricted Reporting, both the command and law enforcement are notified. With Restricted Reporting, the adult sexual assault victim can confidentially access healthcare, advocacy services, and legal services without notification to command or law enforcement.

In addition, Unrestricted Reporting allows victims of sexual assault to report retaliation in the SAPR program. Restricted Reports allow adult victims of sexual assault to confidentially report the crime to specified individuals without triggering an investigation.

The Safety Assessment Tool is designed to evaluate current suicidal/homicidal behaviors in alleged offender(s) or in victims of sexual assault who are at risk. Need to provide a victim of sexual assault a safety assessment plan? Use this worksheet. SAPR Toolkit for Commanders and SARCs sapr.mil https://.sapr.mil › toolkit-for-commanders-and-sarcs sapr.mil https://.sapr.mil › toolkit-for-commanders-and-sarcs

What is DD Form 2965? The form can be used by the SARC capturing victim information to be entered into DSAID. It is also used to provide information to a Commander so they may create a SAIRO; The DD Form 2965 must be destroyed within 8 days after a sexual assault was reported. SHARP: FAQs azurewebsites.us https://armyresilience-staging.azurewebsites.us › faq azurewebsites.us https://armyresilience-staging.azurewebsites.us › faq

ROUTINE USE(S): Applicable Routine Use(s) are: To permit the disclosure of records of closed cases of unrestricted reports to the Department of Veterans Affairs (DVA) for purpose of providing mental and medical care to former Service members, to determine the eligibility for or entitlement to benefits, and to ... DD Form 2910, "VICTIM REPORTING PREFERENCE ... Executive Services Directorate (.mil) https://.esd.whs.mil › documents › forms Executive Services Directorate (.mil) https://.esd.whs.mil › documents › forms PDF

Restricted reporting allows a sexual assault victim to confidentially disclose the details of his or her assault to specified individuals and receive medical treatment and counseling, without triggering the official investigative process.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232