IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR _________________________ COUNTY STATE, v. ________________________________________, Defendant. ) ) ) ) ) ) ) Case No. _____________________ PROSECUTING ATTORNEY’S CERTIFICATION OF COMPLIANCE WITH CRIME VICTIMS’ RIGHTS NOTIFICATION AND CONSULTATION LAWS IN SECTIONS 42(1)(a) to (g) AND 43, ARTICLE I OF THE OREGON CONSTITUTION I, _____________________________________________, the prosecuting attorney in this case, certify that my file indicates that I or a person known to me made a reasonable effort to give the following victim information about the rights granted to victims by sections 42(1)(a) to (f) and 43, Article I of the Oregon Constitution: Victim’s Name: _________________________________________________  Is  Is not named in the charging instrument.  Victims’ rights information was sent to the victim’s last known address, but  The letter was returned.  The victim did not contact the prosecuting attorney’s office.  Did not request to be informed in advance of any critical stage of the proceeding.  Did request to be informed in advance of the following critical stages of the proceeding:  All  Plea and Sentencing  Sentencing Only  Specific Hearing(s): ________________________________________________________________ ________________________________________________________________.  Did not request that the prosecuting attorney assert and enforce a right granted to the victim by sections 42(1)(a) to (f) or 43, Article I of the Oregon Constitution or did make a request, but the prosecuting attorney did not agree to assert or enforce any rights.  Did request that the prosecuting attorney assert and enforce the following right(s) granted to the victim by sections 42(1)(a) to (f) or 43, Article I of the Oregon Constitution, and the prosecuting attorney has agreed to assert and enforce the following right(s): ______________________________________________________ _______________________________________________________________________________________ ______________________________________________________________________________________.  The court suspended the victim’s constitutional rights listed in sections 42(1)(a) to (g) and 43, Article I of the Oregon Constitution as the prosecuting attorney requested under section 42(5), Article I of the Oregon Constitution. I further certify that the charging instrument  Does include the name or pseudonym of each victim known to the prosecuting attorney;  Does not include the name or pseudonym of each victim:  The additional victim(s) name(s) or pseudonym(s) known to this prosecutor is listed on this form or on the attached ―supplemental victim information page.‖  Compliance would cause a substantial hardship to the prosecuting attorney. Submitted this ________ day of _______________________, 20____. _______________________________________ Prosecuting Attorney OSB No. ________________ Page 1 – Form 4.120.1 – PROSECUTING ATTORNEY’S CERTIFICATION OF COMPLIANCE WITH CRIME VICTIMS’ RIGHTS NOTIFICATION AND (6/19/08) CONSULTATION LAWS – UTCR 4.120 UTCR App. Page 11 American LegalNet, Inc. www.FormsWorkflow.com Supplemental Victim Information Page (for use in cases with more than one victim) Case No. ________________ I, _____________________________________________, the prosecuting attorney in this case, certify that my file indicates that I or a person known to me made a reasonable effort to give the following victim(s) information about the rights granted to victims by sections 42(1)(a) to (f) and 43, Article I of the Oregon Constitution: Victim’s Name: _________________________________________________  Is  Is not named in the charging instrument.  Victims’ rights information was sent to the victim’s last known address, but  The letter was returned.  The victim did not contact the prosecuting attorney’s office.  Did not request to be informed in advance of any critical stage of the proceeding.  Did request to be informed in advance of the following critical stages of the proceeding:  All  Plea and Sentencing  Sentencing Only  Specific Hearing(s): __________________________________________________________________ __________________________________________________________________.  Did not request that the prosecuting attorney assert and enforce a right granted to the victim by sections 42(1)(a) to (f) or 43, Article I of the Oregon Constitution or did make a request, but the prosecuting attorney did not agree to assert or enforce any rights.  Did request that the prosecuting attorney assert and enforce the following right(s) granted to the victim by sections 42(1)(a) to (f) or 43, Article I of the Oregon Constitution, and the prosecuting attorney has agreed to assert and enforce the following right(s): _________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________.  The court suspended the victim’s constitutional rights listed in sections 42(1)(a) to (g) and 43, Article I of the Oregon Constitution as the prosecuting attorney requested under section 42(5), Article I of the Oregon Constitution. Victim’s Name: _________________________________________________  Is  Is not named in the charging instrument.  Victims’ rights information was sent to the victim’s last known address, but  The letter was returned.  The victim did not contact the prosecuting attorney’s office.  Did not request to be informed in advance of any critical stage of the proceeding.  Did request to be informed in advance of the following critical stages of the proceeding:  All  Plea and Sentencing  Sentencing Only  Specific Hearing(s): __________________________________________________________________ __________________________________________________________________.  Did not request that the prosecuting attorney assert and enforce a right granted to the victim by sections 42(1)(a) to (f) or 43, Article I of the Oregon Constitution or did make a request, but the prosecuting attorney did not agree to assert or enforce any rights.  Did request that the prosecuting attorney assert and enforce the following right(s) granted to the victim by sections 42(1)(a) to (f) or 43, Article I of the Oregon Constitution, and the prosecuting attorney has agreed to assert and enforce the following right(s): ________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________.  The court suspended the victim’s constitutional rights listed in sections 42(1)(a) to (g) and 43, Article I of the Oregon Constitution as the prosecuting attorney requested under section 42(5), Article I of the Oregon Constitution. Page 2 – Form 4.120.1 – PROSECUTING ATTORNEY’S CERTIFICATION OF COMPLIANCE WITH CRIME VICTIMS’ RIGHTS NOTIFICATION AND (6/19/08) CONSULTATION LAWS – UTCR 4.120 UTCR App. Page 12 American LegalNet, Inc. www.FormsWorkflow.com