Get . Staff Victim Notification Request

Filing a Staff Victim Notification Request is essential for ensuring that staff members who have become victims of an offense are informed and supported. This guide provides a clear, step-by-step process for successfully completing the form online.

Follow the steps to effectively complete the form.

1. Press the ‘Get Form’ button to access the Staff Victim Notification Request form and open it in your document editor.
2. Fill in the 'Date' field with the date you are submitting the request. This helps track the timeline of your notification.
3. In the 'Staff Victim' section, enter the 'Staff Name' of the individual who has experienced the incident. Make sure to enter their full legal name.
4. Complete the 'Classification' field to indicate the staff member's position or role within the organization.
5. Provide the 'Work Location' where the staff member is employed, as this is necessary for documentation and follow-ups.
6. Document the 'Date of Incident' to specify when the event occurred. Accuracy in this field is crucial for the investigation process.
7. Fill in the 'Location of Incident' to provide details about where the incident took place. This information is vital for support services.
8. Indicate whether 'Documentation attached?' by checking the appropriate box. Attach any relevant records to support the request.
9. In the 'Description of Incident', provide a detailed account of what transpired. Be clear and concise to ensure a proper understanding of the situation.
10. Under 'Offender Information', fill in the Wards/Parolee Name, Y.A./M# (Youth Authority/Mapping Number), and the Institution/Parole Office details.
11. Complete the 'Current Location' of the offender and provide the 'Parole Consideration Date' and 'Available Confinement Time'.
12. Indicate the 'Jurisdiction' and 'County of Commitment' to provide context to the legal parameters surrounding the case.
13. Check all boxes that apply to the incident under the provided categories, such as 'Pending DDMS' or 'Pending Court Proceedings'.
14. In the 'Information Received by' section, print and complete the name of the person who is filling out the form. This helps clarify accountability.
15. Include their classification and ensure that the form is reviewed by a designated authority, noting the 'Signature/Date' of the reviewer.
16. Once all fields are complete, review the form for accuracy and completeness. After verification, you can save changes, download, print, or share the finalized form.

Complete the Staff Victim Notification Request form online to ensure timely support and resources.