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Intimate Partner
Violence:Recognition and Intervention
Strategies for Nurses
By Candace W. Burton, PhD, RN, AF NBC,
AG NBC, FNAP and
Jessica R. Williams, PhD, MPH, PHNABCUpon successful completion
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How to fill out intimate partner violence

How to fill out intimate partner violence
01
Start by gathering all the necessary information, including the victim's personal details, the perpetrator's personal details, and any relevant witness information.
02
Familiarize yourself with the specific form or document for reporting intimate partner violence in your jurisdiction. This may include a police report, a restraining order application, or a complaint form.
03
Begin by providing the victim's information, such as their full name, date of birth, contact details, and current address.
04
Proceed to fill out the perpetrator's information, including their full name, date of birth, contact details, and address if known.
05
Document any witness information, if applicable. This may include their names, contact details, and a brief description of what they have witnessed.
06
Provide a detailed account of the incidents of intimate partner violence, including dates, times, locations, and a narrative of what occurred. Be as specific and objective as possible.
07
Indicate whether any physical evidence exists, such as photographs, medical reports, or damaged property.
08
If you are unsure about any details or have questions, seek guidance from a legal professional or a helpline specialized in intimate partner violence.
09
Once you have completed the form, review it carefully to ensure all necessary information is included and accurate.
10
Follow the submission instructions provided with the form or document. This may involve submitting it to the police, a court, or a relevant government agency.
11
Keep a copy of the completed form and any supporting evidence for your records.
12
If necessary, seek further support from local authorities, support organizations, or counseling services for the victim.
Who needs intimate partner violence?
01
Intimate partner violence affects individuals who are in a relationship or have been in a relationship with someone who perpetrates violence or abuse. Both men and women can experience intimate partner violence, and it can occur in heterosexual or same-sex relationships. Any individual who is or has been a victim of violence or abuse at the hands of their intimate partner may need assistance, support, and intervention to address their safety, well-being, and legal rights.
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What is intimate partner violence?
Intimate partner violence refers to physical, sexual, or psychological harm by a current or former partner or spouse.
Who is required to file intimate partner violence?
Anyone who is a victim or witness of intimate partner violence is encouraged to report it.
How to fill out intimate partner violence?
You can fill out a report for intimate partner violence by providing detailed information about the incident and contacting the necessary authorities.
What is the purpose of intimate partner violence?
The purpose of intimate partner violence reporting is to document incidents, provide support to victims, and hold perpetrators accountable.
What information must be reported on intimate partner violence?
Information such as the date/time of the incident, location, description of the violence, injuries sustained, and names of individuals involved should be reported.
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