Edit, Download, and Sign the Victim Witness Certification and Election Concerning Prisoner Status Form

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How do I fill this out?

To fill this form out, you need to provide administrative details, certify whether there are any victims or witnesses, and then advise any victims or witnesses of their rights. Make sure to accurately record all information and forward the form to the appropriate authorities.

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How to fill out the Victim Witness Certification and Election Concerning Prisoner Status Form?

  1. 1

    Begin by filling out the administrative information section.

  2. 2

    Certify whether there are any victims or witnesses involved.

  3. 3

    If victims or witnesses are involved, advise them of their rights and record their election choices.

  4. 4

    Fill out the list of victims and witnesses with all requested details.

  5. 5

    Forward the completed form to the designated agencies.

Who needs the Victim Witness Certification and Election Concerning Prisoner Status Form?

  1. 1

    Military legal officers to comply with regulations.

  2. 2

    Victims of crimes seeking notifications on prisoner status.

  3. 3

    Witnesses in court-martial cases wanting updates on offender status.

  4. 4

    Military correctional facility administrators for record keeping.

  5. 5

    Law enforcement agencies handling the confinement of offenders.

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What are the instructions for submitting this form?

Submit the completed form to the designated Military Service Central Repository, Law Enforcement/Special Investigation, and Correctional Facility as applicable. Ensure all sections are accurately filled and signed. Keep a copy for your records and forward the original to the recipient's address. For email submissions, use the provided email address; for physical submissions, mail to the provided postal address.

What is the purpose of this form?

The purpose of this form is to inform victims and witnesses of their post-trial rights. It ensures that victims and witnesses can elect to be notified of changes in the confinement status of a convicted criminal offender. The form provides a record of their election and ensures they receive necessary notifications.

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Tell me about this form and its components and fields line-by-line.

This form consists of several sections that require detailed information.
fields
  • 1. Incident Number: The unique number assigned to the incident, obtained from DD Form 1569.
  • 2. Installation: Location details including city, state, and zip code of the Convening Authority.
  • 3. Court-Martial Case: Name of the accused and the last four digits of their Social Security number.
  • 4. Convening Order: Details of the court-martial convening order, including number, date, and issuing command.
  • 5. Certification of No Victim or Witness: Certification that no victims or witnesses are entitled to notification.
  • 6. Certification of Advice to Victims and Witnesses: Certification that victims and witnesses were advised of their rights.
  • 7. Distribution: Information on forwarding the form to various designated agencies.
  • 8. List of Victims and Witnesses: Detailed list of victims and witnesses, their contact information, and their election choices.

What happens if I fail to submit this form?

Failure to submit this form can result in victims and witnesses not receiving timely notifications about the changes in the confinement status of an offender.

  • Lack of Notification: Victims and witnesses will not be informed about the status changes of the offender.
  • Non-compliance: Failure to comply with legal regulations and procedures related to victim and witness rights.

How do I know when to use this form?

Use this form when there is a need to notify victims and witnesses about the post-trial status of an offender.
fields
  • 1. Court-Martial Cases: When a court-martial results in a sentence to confinement.
  • 2. Victim Notification: To inform victims about the confinement status and changes of the offender.
  • 3. Witness Notification: To keep witnesses informed about the offender's status.

Frequently Asked Questions

How do I fill out the administrative information section?

Provide the incident number, installation details, court-martial details, and associated information as requested.

What if there are no victims or witnesses?

If there are no victims or witnesses, complete Section 2 and proceed to Section 4.

How do I certify advice to victims and witnesses?

In Section 3, certify that you have personally notified the victims and witnesses of their rights and have recorded their election choices.

What should I do with the completed form?

Forward the completed form to the Military Service Central Repository, Law Enforcement/Special Investigation, and the Correctional Facility.

How can I be notified of changes in a prisoner's status?

Provide accurate contact information in Section 5 and ensure you initial the 'Yes' block to receive notifications.

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What information is required for the list of victims and witnesses?

Provide names, addresses, telephone numbers, and indicate if they elect to receive notifications about the prisoner's status.

Who needs to initial the election choice in Section 5?

The victim, witness, or Trial Counsel/Designee must initial the 'Yes' or 'No' block indicating their desire to be notified.

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