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SEXUAL ASSAULT DISCLOSURE STATE OF CONNECTICUT OFFICE OF VICTIM SERVICES JUDICIAL BRANCH JD-VS-35 Rev. 1-14 C.G.S. 54-209(d) www.jud.ct.gov/crimevictim/ From: Office of Victim Services, 225 Spring
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How to fill out sexual assault disclosure

How to Fill Out Sexual Assault Disclosure:
01
Start by obtaining the necessary forms. Sexual assault disclosure forms are typically provided by the appropriate authorities or institutions such as law enforcement agencies, legal professionals, healthcare providers, or educational institutions.
02
Familiarize yourself with the form's instructions and requirements. Take the time to carefully read through and understand each section of the sexual assault disclosure form. Pay attention to any specific details or documentation that may be necessary to complete the form accurately.
03
Provide personal information. Begin by filling out the personal information section of the form, which may include your full name, date of birth, contact information, and other relevant details. Be sure to use legible handwriting or type the information if required.
04
Provide incident details. In this section, describe the specific details of the sexual assault incident as accurately and comprehensively as possible. Include information such as the date, time, and location of the incident, any involved individuals, and a detailed account of what occurred. If you are unsure or cannot remember certain details, it is important to note that as well.
05
Attach any supporting documentation. If you have any relevant documents or evidence, such as medical records, police reports, or witness statements, make copies and attach them to the disclosure form as instructed. These documents can help provide additional information and support your disclosure.
06
Sign and date the form. Once you have completed all the necessary sections, carefully review your entries, and ensure everything is accurate and complete. Sign and date the form as required, indicating your acknowledgment and consent to the information provided.
Who Needs Sexual Assault Disclosure:
01
Victims of sexual assault: Those who have experienced sexual assault may need to fill out a sexual assault disclosure form to report the incident and seek assistance, justice, or support services.
02
Law enforcement agencies: Sexual assault disclosure forms are often required by law enforcement agencies for the purpose of investigating the reported incidents and gathering evidence.
03
Legal professionals: Attorneys and lawyers may require sexual assault disclosure forms from victims as part of legal proceedings related to the assault, such as filing a lawsuit or representing the victim's interests.
04
Healthcare providers: Medical professionals may request sexual assault disclosure forms to accurately document the incident and provide appropriate medical care, including forensic examinations and counseling services.
05
Educational institutions: Schools and universities often require sexual assault disclosure forms to address incidents involving students or staff members. This allows them to take appropriate action, provide support, and ensure the safety of their community.
Remember, it is crucial to consult with authorities, legal professionals, or victim support organizations to ensure you understand the specific requirements and processes involved in filling out a sexual assault disclosure form.
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What is sexual assault disclosure?
Sexual assault disclosure is the act of reporting incidents of sexual assault, providing information about the assault to the proper authorities.
Who is required to file sexual assault disclosure?
Any individual or organization that has knowledge of or is a victim of a sexual assault incident is required to file a sexual assault disclosure.
How to fill out sexual assault disclosure?
To fill out a sexual assault disclosure, one must provide detailed information about the incident, including the date, time, location, and any other relevant details.
What is the purpose of sexual assault disclosure?
The purpose of sexual assault disclosure is to document and report incidents of sexual assault, provide support for victims, and help prevent future incidents.
What information must be reported on sexual assault disclosure?
Information such as the date, time, location, description of the incident, and contact information for the victim and witnesses must be reported on the sexual assault disclosure form.
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