Sample Victims' Rights Notification Form for Law Enforcement

Wisconsin Stat. § 950.08(2g) requires that law enforcement provide victims of crime with specific written information within 24 hours of contact with the victim.  The information that must be given to victims includes certain phone numbers and addresses and all the rights enumerated by Wis. Stat.  s.950.04 (1v).  The Department of Justice has developed a sample form that contains all of the elements required by this statute.  The form can be adapted for use by local agencies.

Sample Victims' Rights Form for Law Enforcement
Word Version  PDF Version

*When printing, please note that this is intended to be a two-sided form.

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