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Safety alert:
Computer use can be monitored and is impossible to completely
clear. If you are in danger, please use a safer computer, call
your local hotline at 1-800-472-2911, and/or call the National
Domestic Violence Hotline at
1-800-799-SAFE. If you are at a safer computer, click
here to read more. |
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For a hard copy of the protocol
please contact NDCAWS at 1-888-255-6240. |
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Child Sexual Abuse |
Sexual Assault Laws |
Statistics |
ND Programs |
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LGBT Issues |
Elder Abuse |
Native American
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Disabilities Issues |
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Sexual Assault Evidence Collection Protocol |
State Plan
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Return to
Evidence Collection Protocol Index |
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Appendix A-1
Sexual Assault Evidence Collection Kit |
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FOR
HOSPITAL PERSONNEL |
VICTIM’S NAME:
________________________________
AFFIX
(Please Print)
BIOHAZARD
PHYSICIAN’S NAME: ____________________________
SEAL HERE
(Please Print)
KIT SEALED BY:________________________________
(Please Print)
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PLACE
SEALED KIT IN SECURED
AND REFRIGERATED STORAGE AREA |
PLACED
BY:_____________________________________________________
(Please Print)
DATE: ______________________
TIME:___________________ am
pm
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FOR LAW
ENFORCEMENT
CHAIN OF POSSESSION |
RECEIVED FROM: ___________________________________________
DATE: ______________________
TIME:___________________ am
pm
RECEIVED FROM: ___________________________________________
DATE: ______________________
TIME:___________________ am
pm
RECEIVED FROM: ___________________________________________
DATE: ______________________
TIME:___________________ am
pm
RECEIVED FROM: ___________________________________________
DATE: ______________________
TIME:___________________ am
pm
DELIVER SEALED KIT AND
CLOTHING BAGS TO:
Department of Health – Forensic Science Division
2635 E. Main Street
Bismarck, ND 58501
(701) 328-6159 |
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FOR
FORENSIC LABORATORY PERSONNEL ONLY |
LABORATORY NUMBER: ______________________________________
CASE NUMBER:______________________________________________
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