Drc3193 Ohio Form Modify Form Here

Drc3193 Ohio Form

The DRC3193 Ohio form is a registration document used by victims or their representatives to request inclusion on the victim notification list maintained by the Ohio Department of Rehabilitation and Correction's Office of Victim Services. By completing this form, individuals can receive timely notifications about significant events related to an offender, including parole hearings and release dates. It is essential for victims to understand their rights to be informed, as outlined in Ohio Revised Code 2930.16.

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Table of Contents

The DRC3193 Ohio form is a crucial document for individuals seeking to stay informed about the status of offenders in the Ohio correctional system. By completing this form, victims or their designated representatives can request to be placed on the victim notification list, ensuring they receive timely updates about significant events related to the offender. These events include parole board hearings, clemency hearings, release dates, and even instances of escape or death. The form requires detailed information about both the offender and the victim, emphasizing the importance of accuracy in the submission. Victims can also indicate their preferred method of communication, whether by mail, phone, or email, allowing for a personalized approach to notifications. Furthermore, the form highlights the confidentiality of the information provided, reassuring victims that their details will be protected. Once submitted, the Office of Victim Services processes the request and sends a confirmation letter, establishing a clear line of communication. For those interested in additional resources, the form also mentions the Victim Information and Notification Everyday (VINE) system, which offers further support and information. Understanding the DRC3193 form is essential for victims who wish to exercise their rights and stay informed throughout the legal process.

Form Sample

*Registration:

The Ohio Department of Rehabilitation and Correction

New

Office of Victim Services

Update

VICTIM NOTIFICATION

 

(Please Print)

I am requesting to be placed on the victim notification list. By registering with the Office of Victim Services I will receive notifications regarding the following events: Parole Board Hearings, Clemency Hearings, Full Board Hearings, Recommendation to the Transitional Control Program, Release Date, Escape and/or Death. I understand that I have a right to be notified per ORC 2930.16, provided the Office of Victim Services has received this notification form. I understand this information will remain confidential.

Offender Information: Please fill out this section with as much information as possible. If you are unaware of the offender number, please contact the Office of Victim Services at 1-888-842-8464 option 1, or search via the website at www.drc.ohio.gov.

Offender Name:

*FIRST

MI

*LAST

Offender Number:

Court Case #:

Offender Race:

Offender DOB:

 

 

Sentencing County:

Victim Information: The victim or a designated representative may receive notification. The person to receive this notification must provide the following information:

Name of Person Requesting Notification:

Mr.

 

 

*FIRST

 

 

MI

 

 

 

 

*LAST

 

 

 

 

 

 

 

Ms.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Street Address:

 

 

 

 

*City:

 

*State:

 

*Zip Code + 4:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

May We Contact You by E-mail:

Yes

No

E-mail Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No Phone

Daytime Phone:

 

 

Ext.:

Alternate Phone:

 

 

 

Ext.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cell Phone:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Is the Victim A Minor:

Yes

No

*What, if any, is your relationship to the offender:

 

 

 

 

(UNDER 18)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to Victim:

*What is your relationship to the Victim:

PLEASE MAIL THIS FORM TO:

The Ohio Department of Rehabilitation & Correction

Office of Victim Services - Notification Section

 

 

770 West Broad Street

 

Columbus, Ohio 43222-1419

 

Or Fax To: (614) 728-1980 Or Email: drc.victim.services@odrc.state.oh.us

Upon Receipt of this form, the Office of Victim Services will process your request and you will receive a confirmation letter.

Note: If the Offender in your case sends a letter of apology to the Office of Victim Services, do you wish to be notified?

Yes No

If you would like to also be registered for the Victim Information and Notification Everyday (VINE) telephone system, please call 1-800-770-0192 for more information, or go to VINE online at www.vinelink.com.

By completing the section below, I am requesting to be placed on the Victim Notification list. I understand that it is my responsibility to notify the Office of Victim Services in writing of any changes in the information provided on this form.

* Signature:

*Date:

DRC3193 (Rev. 09/11)

* = Required Information

Form Information

Fact Name Fact Description
Purpose of the Form The DRC3193 form is used to register individuals for notifications regarding significant events related to offenders, such as parole hearings and release dates.
Governing Law This form operates under Ohio Revised Code (ORC) 2930.16, which mandates victim notification rights.
Confidentiality Assurance Information provided on the DRC3193 form is kept confidential, ensuring the privacy of the victim and their representatives.
Eligibility for Notification Victims or designated representatives can request to receive notifications. The form requires specific information about the requester and the offender.
Submission Methods The completed form can be mailed, faxed, or emailed to the Ohio Department of Rehabilitation & Correction Office of Victim Services.
Additional Services Individuals can also register for the Victim Information and Notification Everyday (VINE) system for real-time updates about offenders.
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