Fillable Cops W0623 Pub (Department of Justice)

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Cops W0623 Pub (Department of Justice)

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File type: PDF

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Sex Offender Compliance
Check Forms for Patrol Officers
Introduction
The Sex Offender Registration and Notification Act (SORNA), also referred to as Title I of the Adam
Walsh Child Protection and Safety Act of 2006 (Pub. L. No. 109-248), provides minimum guidelines for
sex offender registration and notification in the United States. One important aspect of this Act is the
enforcement of requirements implemented as a result of these guidelines. However, agencies tasked
with helping to ensure sex offender compliance use a variety of data collection and reporting strategies.
To help address this issue, this booklet supplies two sex offender compliance check forms representing
best practices among law enforcement agencies that routinely conduct these compliance/verification
checks. Each form provides a systemic framework for obtaining information necessary to help ensure
public safety.
The first compliance check form, the short form, is geared toward patrol officers who conduct routine
verification visits to registered sex offenders’ homes, places of employment, and/or schools they attend.
Officers may use this short form to gather basic information detailing their visit and to determine the
sex offender’s level of compliance or the need for investigative follow-up.
The second, the long form, is designed for more in-depth visits to or with sex offenders at their homes,
places of employment, and/or schools. This form may be used as an investigative follow-up tool or when
an offender is deemed to be not in compliance and additional action is necessary.
These forms are available on the COPS Office website at
www.cops.usdoj.gov/RIC/ResourceDetail.
aspx?RID=623
. Both may be used as internal documentation or as external reporting instruments.
Additional information about SORNA and reporting requirements in the United States can be found
at
www.nsopw.gov.
SEX OFFENDER COMPLIANCE CHECK – SHORT FORM
This form is to be used during standard offender compliance visits to sex offenders’ homes, places of employment, and schools they
attend in this jurisdiction. Please read each line carefully. Double click the gray fields to add text in the “Default text” box.
OFFENDER
INFORMATION
Name
Race
DOB
SSN
VERIFICATION
LOCATION
Home
Address
Work
Address
School
Address
CONTACT
RESULTS
At home
individual(s) contacted at the verification location.
Not at home
No answer
At work/school
Not at work/school
Other
The contact states the offender does reside at the above address but is not home. This was verified by observing the offender’s sleep
area, clothing, personal items, mail, etc. Yes No
COMPLIANT
NOT IN COMPLIANCE
(Explain in Comments section)
NEEDS FURTHER INVESTIGATION
(Explain in Comments section)
COMMENTS (Type or write comments in the space provided below.)
Number of Contact Attempts
Date(s) and Time(s) Attempted
/ / :
/ / :
Date Verification Confirmed
/ /
Name(s) of Officer(s)
Badge Number(s)
SEX OFFENDER COMPLIANCE CHECK – LONG FORM
This form is to be used during standard offender compliance visits to sex offenders’ homes, places of employment, and/or schools they
attend in this jurisdiction. Please read each line carefully. Double click the gray fields to add text in the “Default text” box.
OFFENDER’S NAME
REG.#
DOB SSN
RACE
RESIDENCE
ADDRESS
IS THERE A COMPUTER WITH INTERNET ACCESS IN THE HOME? YES NO
EMAIL 1 EMAIL 2
HOME PHONE CELL PHONE WORK PHONE
OWN RENT OTHER
HOUSEHOLD OCCUPANTS (Name and Age)
VEHICLES (PERSONAL AND WORK)
MAKE MODEL LICENSE
MAKE MODEL LICENSE
WORK
YES NO
COMPANY NAME
ADDRESS
SCHOOL
YES NO
SCHOOL NAME
ADDRESS
Complete the reverse side
WITNESS STATEMENT (Type or write statement in the space provided below.)
NAME (printed)
DATE
SIGNATURE
TELEPHONE
COMMENTS/NOTES (Type or write comments in the space provided below.)
COMPLIANT NOT IN COMPLIANCE NEEDS FURTHER INVESTIGATION
OFFICER NAME
BADGE NO.
SIGNATURE
DATE
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Cops W0623 Pub (Department of Justice)

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Completed 12 October 2021

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