Stat Form
Service Code
Victimization
Data Entry
Documentation
100

This form is used when you talk to a new client by phone.

What is Hotline Form?

100

This code's definition is Accompanying a client to their civil legal court hearing, including mediation.

What is L6?

100

This victimization is used for sexual assault victims who are children.

What is Child Sexual Abuse/Assault?

100

This data base is used to track stats for grant reporting.

What is Empowerdb?

100

Originals of these 3 forms are turned into stats.

What is the Service Log, Group Sign in Sheet, and survey tally?

200

These forms are always used in tandem.

What is Service Log and Progress Log

200

This code is used only by legal advocates when filing a restraining order at court.

What is TROR?

200

This victimization is used when a minor between the ages of 12-17 comes in experiencing intimate partner violence. 

What is Teen Dating Violence?

200

This non-stat form is entered into the database.

What is Release of Information?

200

A client intake packet is made up of what forms for stats?

What is a General Information Form, Program Form and Staff Service Log? (Hotline may also be included)

300

This form is filled out by the client.

What is the General Information Form?

300

These codes are used when responding to a call out with law enforcement on scene.

What is ONCR, CRIP, SAFE, ADVL, and ACLE.

300

This victimization is only used for child on child violence, covering both physical and mental/emotional abuses.

What is Bullying?

300

This is the method to check what program a client in enrolled in.

What is checking the client's profile?

300

A client was sexually assaulted by 3 PWCHs, you would do what?

What is do one Program Form per PWCH?

400

These forms are completed when a client comes in for services.

What is General Information Form and Program Form?

400

This code is used when checking in on a client after an assessment and they don't answer their phone.

What is CASEM?

400

These victimizations are used for a victim of intimate partner violence who experienced physical assault and stalking.

What is Adult Physical Assault, Domestic Violence, and Stalking/Harassment.

400

The physical file's (blank) needs to match the data base's (blank)

What is Notes?

400

This program is used when client comes in needing help with a neighbor dispute.

What is none?

500

This form is only completed when a child of a victim receives a service. 

What is Secondary Client Form?

500

This code is used when attending an MDIC.

What is ADFE?

500

This victimization is used when someone is kidnapped by someone who is not their parent.

What is Kidnapping Non-Custodial?

500

This process is done when the parent of a child under 12 comes in for services for their child.

What is Entering a Secondary Client?

500

This program would be used if a client was sexually assaulted and transported to a forensic exam but at the door, decides that they do not want to go through with it.

What is Sexual Assault?