Applications due by February 28, 2021

Applications due by February 28, 2021
Promising Practices in Law Enforcement Victim Support

Case Study Application
Agency Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Agency Type
Number of Sworn Officers
Jurisdiction Type
External Funding Received by Agency for Victim Response Efforts
Federal
State
Local
Other external agency funding - provide details:
Department of Justice (DOJ) program involvement - current or past
Other DOJ program involvement (for victim response efforts) - provide details:
Agency Victim-Centered, Trauma-Informed Practices
Agency multidisciplinary team participation
Other multidisciplinary team participation - provide details:
Does your agency have a Victim Response Policy?
Briefly describe additional agency practices - 1,000 word limit.

0/1000
Agency-Based Victim Services Program

Complete the following fields if personnel are employed or contracted to provide services to victims of crime and non-criminal events as a representative of your agency.
How long has the Agency-Based Victim Services Program been in operation?
Victim Services Response Models
Direct Supervisor for Victim Services Program
Victimization categories routinely served - Mark all categories that reflect proactive service. Do not mark categories that reflect a willingness to provide services upon request.
Other victimization categories proactively served - provide details:
Agency Liaison Information

This individual will serve as a point of contact for IACP staff to coordinate virtual interviews across multiple ranks and disciplines within the agency.
Agency Liaison Name

First NameLast Name
Position Title
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Acceptance as a case study site will involve documentation of successes and challenges for victim-centered, trauma-informed approaches and practices. Completed case studies will contribute to field advancement and help agencies learn about promising practices for effective victim response.

On behalf of my agency law enforcement executive, my signature below confirms my consent to the provision of agency policies and documents and to the public dissemination of a completed case study for my agency if selected for participation.
Signature
Person Signing Application

First NameLast Name
Date of Signature

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please verify that you are human
Should be Empty:

Applications due by February 28, 2021

Promising Practices in Law Enforcement Victim Support

External Funding Received by Agency for Victim Response Efforts

Agency Victim-Centered, Trauma-Informed Practices

Agency-Based Victim Services Program

Agency Liaison Information