CRJS310 IP5
Stalking
CRJS310-IP5
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Class
Date
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Victims of Stalking
Stalking is defined as a crime where the offender repeatedly harasses, follows, approaches, threatens, or watches their victim. In 1990 the state of California created the first stalking law after a stalker murdered Rebecca In the state of California stalking is illegal under California Penal Code 646.9. Stalking is a felony and if found guilty the stalker will receive a five year prison sentence. Additional counts of stalking upon their release from prison will increase the prison sentence of the stalker.
Intake Form
Applicants Information Adverse Parties Information
Last Name___________ Last Name_____________
First Name_______ Middle____ First Name______ Middle ______
Address____________________ Address______________________
City, St, Zip_________________ City, St, Zip___________________
Home Phone_________________ Home Phone___________________
Employer____________________ Employer______________________
Personal Information
Does Adverse Party have address? Y/N
Does Adverse Party have Telephone Number? Y/N
Adverse party gender? M/F Adverse Party Age____________
Adverse Party race?____________ Adverse Party DOB____________
Adverse party height? ______
Adverse party known to victim Y/N
Relationship to adverse party________________________ Length _________
Law Enforcement
Have police been contacted__________________ Date of contacts____________
Any arrest made? _________________ Types of arrest _____________________
Date of arrests _____________________
Police agency ___________________ Access to firearms Y/N
Evaluation and Assessment Form
1. Do you receive repeated phone calls? Y/N
2. Do you receive repeated emails Y/N
3. Do you receive repeated messages on social media? Y/N
4. Does adverse party follow you? How Frequently_____ Y/N
5. Do they show up at home work, social occasions Y/N
6. Has adverse party contacted family, friends, or coworkers? Y/N
7. Do you fear adverse party? Y/N
8. Do they send unwanted gifts? Y/N
9. Have they gone through your trash or mail? Y/N
10. Have they damaged any of your property? Y/N
11. Have they made threats against you? Y/N
12. Do you believe they are using tracking devices?
13. How many days, weeks, months, years has stalking occurred? ________________
14. Around how many incidents of stalking have occurred?
15. Has the stalker ever been violent?_______ when?_________________
16. Have you filed a police report? Y/N? How many times? ____________
Please provide any additional information____________________________________