Law Enforcement Agency That Received the Initial Sexual Assault ReportInitial Agency Contact NameDate TransferredLaw Enforcement Agency with Jurisdiction Receiving ReportName of Person Receiving Repor ID: 883617
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1 of receiving a sexual assault report of
of receiving a sexual assault report of an incident in your jurisdiction from another law Law Enforcement Agency That Received the Initial Sexual Assault ReportInitial Agency Contact Name:Date Transferred: Law Enforcement Agency with Jurisdiction Receiving ReportName of Person Receiving Report:Title of Person Receiving Report:Time Received: Name of Contact Person:Title:the law enforcement agency that received the initial report. Confirmation of Transfer of Sexual Assault Reportto Law Enforcement Agency Having JurisdictionWithin 24 hours of receiving a sexual assault report of an incident in your jurisdiction from another lawenforcement agency, you must provide that agency with the following information. Law Enforcement Agency That Received the Initial Sexual Assault ReportCase Number:Initial Agency Name:Initial Agency Contact Name:Phone:Fax:Title:Time Transferred:Date Transferred: Confirmation of Receipt of Sexual Assault Report to be completed byLaw Enforcement Agency with Jurisdiction Receiving ReportCase Number:Agency with Jurisdiction Name:Name of Person Receiving Report:Title of Person Receiving Report:Time Received:Date Received: Law Enforcement Agency Having Jurisdiction Contact Information to be Provided to VictimCase Number:Agency with Jurisdiction Name:Name of Contact Person:Phone:Title:Fax:Email:This written confirmation shall be delivered in person or via fax or email tothe law enforcement agency that received the initial report.CPD-32.604 (2/18) Draft 2/23/18 Confirmation of Transfer of Sexual Assault Reportto Law Enforcement Agency Having JurisdictionWithin 24 hours of receiving a sexual assault report of an incident in your jurisdiction from another lawenforcement agency, you must provide that agency with the following information. Law Enforcement Agency That Received the Initial Sexual Assault ReportCase Number:Initial Agency Name:Initial Agency Contact Name:Phone:Fax:Title:Time Transferred:Date Transferred: Confirmation of Receipt of Sexual Assault Report to be completed byLaw Enforcement Agency with Jurisdiction Receiving ReportCase Number:Agency with Jurisdiction Name:Name of Person Receiving Report:Title of Person Receiving Report:Time Received:Date Received: Law Enforcement Agency Having Jurisdiction Contact Information to be Provided to VictimCase Number:Agency with Jurisdiction Name:Name of Contact Person:Phone:Title:Fax:Email:This written confirmation shall be delivered in person or via fax or email tothe law enforcement agency that received the initial report.CPD-32.604 (2/18)