American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR COUNTY In the Matter of: ) Case No. ) ) CLAIM OF VIOLATION OF CRIME ) VICTIM222S RIGHT(S) UNDER ARTICLE ) I, SECTION 42(1)(a) TO (g) OR 43, OF THE , ) OREGON CONSTITUTION A Youth / Youth Offender. ) ) (For use in a juvenile delinquency case) 1. I, , am A victim in the above-listed juvenile delinquency case. The district attorney acting at the request of a victim, , in the above-listed juvenile delinquency case. A private attorney representing a victim, , in the above-listed juvenile delinquency case. A person who wishes to be, but has not been, recognized as a victim, in the above-listed juvenile delinquency case. 2. I am the victim and I have provided my contact information on a separate form. I request that my contact information be sealed and not made part of the public record in this case. I am acting on behalf of the victim and have included service information with this claim form. 3. The violation occurred on the day of , 20, when (describe events 226 attach a separate sheet if you need more space): Page 1 226 Form 4.100.2b 226 CLAIM OF VIOLATION OF CRIME VICTIMS222 RIGHT(S) 226 UTCR 4.100 (For use in a juvenile delinquency case) (10-13-09) American LegalNet, Inc. www.FormsWorkFlow.com 4. I believe this conduct violated the following right(s) granted by Article I, section 42(1)(a) to (g) and 43, of the Oregon Constitution: 5. To be present at and, upon specific request, to be informed in advance of any critical stage of the proceedings held in open court when the youth/youth offender is present, and to be heard at any detention hearings and disposition. Upon request, to obtain information about the adjudication, disposition, imprisonment, criminal history, and future release from physical custody of the youth/youth offender. To refuse an interview, deposition, or other discovery request by the youth/youth offender or other person acting on behalf of the youth/youth offender. To receive prompt restitution from the adjudicated youth who caused the victim's loss or injury. To have a copy of a transcript of any court proceeding held in open court, if one is otherwise prepared. Upon request, to be consulted regarding plea negotiations involving any violent felony. To be informed of the above-listed rights as soon as practicable. To be reasonably protected from the youth/youth offender throughout the juvenile justice process. To have decisions by the court regarding the preadjudication release of a youth/youth offender based upon the principle of reasonable protection of the victim and the public, as well as the likelihood that the youth/youth offender will appear for adjudication. 6. In accordance with the rights provided in Article I, sections 42 and 43, of the Oregon Constitution, I request the following remedy: 7. I hereby request that the court grant an appropriate remedy or schedule a hearing to determine whether the victim222s right(s) was violated. Submitted this day of , 20. Victim, Prosecuting Attorney or Private Attorney OSB No. Page 2 226 Form 4.100.2b 226 CLAIM OF VIOLATION OF CRIME VICTIMS222 RIGHT(S) 226 UTCR 4.100 (For use in a juvenile delinquency case) (10-13-09) American LegalNet, Inc. www.FormsWorkFlow.com Note: You must file this claim with the court clerk222s office. Supplemental Form - Victim Contact Information Case Name: Case No. Please list your residential address or an alternate contact address at which you would like to receive information from the court regarding court hearings and court decisions. Until your claim is resolved, you must provide updated contact information to the court if your contact information changes. If you fail to keep the court informed, the court may dismiss your claim. Name Street Address or PO Box (Contact address may be used) City State Zip Code Telephone Number Note: You must provide this page to the court and the prosecuting attorney; you do not need to provide this page to the defendant. THIS INFORMATION MUST BE KEPT UNDER SEAL BY THE COURT. Page 3 226 Form 4.100.2b 226 CLAIM OF VIOLATION OF CRIME VICTIMS222 RIGHT(S) 226 UTCR 4.100 (For use in a juvenile delinquency case) (10-13-09)