American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR COUNTY In the Matter of: ) Case No. ) ) PROSECUTING ATTORNEY222S NOTIFICATION ) OF COMPLIANCE WITH CRIME VICTIMS222 , ) CONSTITUTIONAL RIGHTS A Youth / Youth Offender. ) The charging instrument does does not include the name or pseudonym of each victim known to the prosecuting attorney. The additional victim(s) name(s) or pseudonym(s) known to this prosecutor is listed on this form or on the attached 223Supplemental Victim Information Page.224 The listing of all victims in this case would be impractical for the prosecuting attorney. 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 Article I, sections 42(1)(a) to (f) and 43, of the Oregon Constitution. Victim222s Name: Victims222 rights information: Received Not received Unconfirmed Requested to be informed in advance of the following critical stages of the proceeding: All None Release Hearing(s) Plea Disposition Other: . Did Did not request that the prosecuting attorney assert and enforce the victim222s constitutional rights, and the prosecuting attorney: did not agree to assert or enforce any rights. agreed to assert and enforce the following rights: . The victim expressed intent to assert the victim222s constitutional rights independently. The court suspended the victim222s constitutional rights pursuant to Article I, section 42(5), of the Oregon Constitution. Victim222s Name: Victims222 rights information: Received Not received Unconfirmed Requested to be informed in advance of the following critical stages of the proceeding: All None Release Hearing(s) Plea Disposition Other: . Did Did not request that the prosecuting attorney assert and enforce the victim222s constitutional rights, and the prosecuting attorney: did not agree to assert or enforce any rights. agreed to assert and enforce the following rights: . The victim expressed intent to assert the victim222s constitutional rights independently. The court suspended the victim222s constitutional rights pursuant to Article I, section 42(5), of the Oregon Constitution. Submitted this day of , 20. Prosecuting Attorney OSB No. Page 1 226 Form 4.100.1b 226 PROSECUTING ATTORNEY222S NOTIFICATION OF COMPLIANCE WITH CRIME VICTIMS222 CONSTITUTIONAL RIGHTS 226 UTCR 4.100 (10-13-09) American LegalNet, Inc. www.FormsWorkFlow.com Supplemental Victim Information Page (for use in cases with more than two victims) Case No. 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 Article I, sections 42(1)(a) to (f) and 43, of the Oregon Constitution. Victim222s Name: Victims222 rights information: Received Not received Unconfirmed Requested to be informed in advance of the following critical stages of the proceeding: All None Release Hearing(s) Plea Disposition Other: . Did Did not request that the prosecuting attorney assert and enforce the victim222s constitutional rights, and the prosecuting attorney: did not agree to assert or enforce any rights. agreed to assert and enforce the following rights: . The victim expressed intent to assert the victim222s constitutional rights independently. The court suspended the victim222s constitutional rights pursuant to Article I, section 42(5), of the Oregon Constitution. Victim222s Name: Victims222 rights information: Received Not received Unconfirmed Requested to be informed in advance of the following critical stages of the proceeding: All None Release Hearing(s) Plea Disposition Other: . Did Did not request that the prosecuting attorney assert and enforce the victim222s constitutional rights, and the prosecuting attorney: did not agree to assert or enforce any rights. agreed to assert and enforce the following rights: . The victim expressed intent to assert the victim222s constitutional rights independently. The court suspended the victim222s constitutional rights pursuant to Article I, section 42(5), of the Oregon Constitution. Victim222s Name: Victims222 rights information: Received Not received Unconfirmed Requested to be informed in advance of the following critical stages of the proceeding: All None Release Hearing(s) Plea Disposition Other: . Did Did not request that the prosecuting attorney assert and enforce the victim222s constitutional rights, and the prosecuting attorney: did not agree to assert or enforce any rights. agreed to assert and enforce the following rights: . The victim expressed intent to assert the victim222s constitutional rights independently. The court suspended the victim222s constitutional rights pursuant to Article I, section 42(5), of the Oregon Constitution. Page 2 226 Form 4.100.1b 226 PROSECUTING ATTORNEY222S NOTIFICATION OF COMPLIANCE WITH CRIME VICTIMS222 CONSTITUTIONAL RIGHTS 226 UTCR 4.100 (10-13-09)