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FORM SSV3 (432013) SEXUAL VIOLENCE, Local Jail Jurisdictions Name OMB No. 11210292: Approval Expires 05×31/2014 DEPARTMENT OF JUSTICE BUREAU OF JUSTICE STATISTICS AND ACTING AS COLLECTION AGENT U.S.
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How to fill out sexual violence - blue:
01
Start by gathering all the necessary information and documentation related to the incident of sexual violence. This may include any police reports, medical records, witness statements, or any relevant photographs or videos.
02
Begin filling out the form by providing your personal details, including your full name, address, contact information, and any other identifying information required by the form.
03
In the designated sections, provide a detailed description of the sexual violence incident. Include the date, time, and location of the incident, as well as a narrative of what happened. Be as clear and concise as possible, providing any relevant information about the perpetrator, any witnesses present, and any actions taken immediately following the incident.
04
If there were any physical injuries sustained as a result of the sexual violence, make sure to include a description of these injuries in the appropriate section of the form. If medical treatment was sought, provide details about the healthcare provider or facility visited.
05
Fill out any additional sections or questions on the form that pertain to your specific situation, as required. This may include information about any protective orders requested, any subsequent contact with law enforcement or legal authorities, or any ongoing support services or counseling being received.
Who needs sexual violence - blue:
01
Sexual violence - blue is a form that needs to be filled out by individuals who have been victims of sexual violence and wish to document the incident. This form is typically used as part of the legal or investigative process, as well as for the purpose of accessing support services or resources.
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In some cases, professionals such as law enforcement officers, attorneys, or social workers may also need to access this form in order to assist survivors of sexual violence through the legal or support process. It can serve as a valuable tool for gathering crucial information and documenting the incident.
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Overall, sexual violence - blue is intended for those directly affected by sexual violence, as well as professionals and organizations involved in supporting survivors and seeking justice.
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