This version of the form is not currently in use and is provided for reference only. Download this version of Part B for the current year.
This is a legal form that was released by the New York State Division of Criminal Justice Services - a government authority operating within New York.
The document is provided in Haitian Creole. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the purpose of this form?
A: The purpose of this form is to obtain consent from the patient for evidence collection and release or storage in cases of drug facilitated sexual assault in New York.
Q: Who needs to fill out this form?
A: This form needs to be filled out by the patient who is a victim of drug facilitated sexual assault in New York.
Q: What does this form cover?
A: This form covers consent for evidence collection, release or storage related to drug facilitated sexual assault in New York.
Q: Can the patient choose whether to give consent or not?
A: Yes, the patient has the right to choose whether to give consent or not for evidence collection and release or storage.
Q: Is this form available in Haitian Creole?
A: Yes, this form is available in Haitian Creole for easier understanding by patients who speak that language.
Form Details:
Download a printable version of Part B by clicking the link below or browse more documents and templates provided by the New York State Division of Criminal Justice Services.