VICTIM RIGHTS NOTIFICATION FORM

VICTIM RIGHTS NOTIFICATION FORM
Filling out this form is voluntary. You do not have to complete every section. If you choose to fill out the form, Please submit it to our office at your earliest convenience.

If you have questions or concerns, please contact:

Marla Cox

Victim Services Coodinator

435-781-5436
Your Name: *
Name of Defendant:
Please provide if known
Court Case No.:
9 digit number
STEP ONE:
Identify who will receive the notifications. CHECK ONLY ONE BOX

I am the victim. I am requesting to exercise my rights (see your available options in steps 4-6 below) The victim is incapacitated, severely disabled or deceased. I have been designated to exercise the victim’s rights. The victim is a minor child. I am the parent / guardian of the child and I am requesting to exercise the rights on behalf of the child victim.
Victim Name
Please print your full legal name or full legal name of the victim
STEP TWO:
Provide a mailing address for the person designated above to receive notification.
Street Address:
Apt:
City:
State:
Zip:
STEP THREE:
Provide other contact information.
PHONE - Cell:
Home:
Work:
Email:
example@example.com
Preferred Contact Method:
STEP FOUR:
Choose what involvement you would like to have in the case. CHECK ANY THAT APPLY.

Notify me of all important Court hearings and dispositions. Only notify me of any conviction and sentence. I would like to address the Court at appropriate hearings. I would like to talk with the Prosecuting Attorney. I do not wish to be notified of any Court proceedings or disposition.
STEP FIVE:
Let us know what other rights you would like to exercise. CHECK ANY THAT APPLY

Right to be treated with dignity, respect, courtesy, and sensitivity - UCA § 77-37-1 Right to be free from threats and intimidation - UCA § 77-37-3(1)(a) Right to be informed and assisted - UCA § 77-37-3(1)(b) Right to an explanation of the legal proceedings and plea negotiations - UCA § 77-37-3(1)(c) Right to seek restitution and reparations for your losses - UCA § 77-37-3(1)(e) Right to return of personal property after prosecution - UCA § 77-37-3(1)(f) Right to reasonable employer intercession services - UCA § 77-37-3(1)(g) Right to a speedy resolution of your case - UCA § 77-37-3(1)(h) & UCA § 77-38-7 Right to notice of all important criminal justice proceedings - UCA § 77-37-3(1)(i) Right to be present in the Courtroom for all important hearings - UCA § 77-38-4(1)(a) Right to be heard at any hearings regarding arraignment, disposition, release (excluding at initial appearance), sentence (including modification), and parole - UCA § 77-38-4(1)(b) Right to submit a written statement in any action on appeal related to that crime - UCA § 77-38-4(1)(c) Right to privacy - UCA § 77-38-6 Right to object to an expungement petition - UCA § 77-38-14 Right to have victim impact statement presented to the Court for sentencing if a pre-sentence investigation is ordered - UCA § 77-18-1(5)
IF YOU ARE THE VICTIM OF A SEXUAL OFFENSE:

Right to request HIV testing (voluntary for yourself and mandatory for the alleged sexual offender) - UCA § 77-37-3(1)(j)(i) Right to be informed whether a DNA profile was obtained from the case evidence - UCA § 77-37-3(1)(j)(ii) Right to be informed whether a DNA profile from the case evidence has been entered into the Utah Combined DNA Index System - UCA § 77-37-3(1)(j)(iii) Right to be informed about a match between a DNA profile from the case evidence and a DNA profile contained in the Utah Combined DNA Index System, provided that disclosure would not impede or compromise an ongoing investigation - UCA § 77-37-3(1)(j)(iv) Right to designate a person of your choosing to act as a recipient of the DNA profile info -UCA § 77-37-3(1)(j)(v)
IF YOU ARE / REPRESENT A CHILD VICTIM:

Right to have the process conducted in the most effective and least traumatic, intrusive, and intimidating manner - UCA § 77-37-1(2) Right to protection from physical and emotional abuse during involvement with the criminal justice process - UCA § 77-37-4(1) Right not to be questioned, in any manner, nor to have allegations made, implying responsibility for inappropriate behavior adults commit against them - UCA § 77-37-4(2) Right to have interviews related to criminal prosecution kept to a minimum and conducted in an age-appropriate way - UCA § 77-37-4(3) Right to be informed of available community resources to assist you - UCA § 77-37-4(4) Right to keep confidential interviews recorded at the CJC- UCA § 77-37-4(5)
STEP SIX
Sign and Return the form.
Date: *

Month Day Year
Date
Print / Type Name *
Your initials constitute your digital signature. *
Should be Empty:

VICTIM RIGHTS NOTIFICATION FORM

STEP ONE:

STEP TWO:

STEP THREE:

STEP FOUR:

STEP FIVE:

STEP SIX