Sexual Abuse Investigation

Please fill out and submit this form for Community Services investigations

PREA Resource Unit

Additional contact information

Email: Community.Services.PREA.Compliance.Manager.DOC@state.mn.us

Phone: (218) 244-4447

Address: Minnesota Department of Corrections

1450 Energy Park Drive

ATTN: PREA Resource Unit

Name of your organization/ or agency

Incident Date (if unknown leave blank)

Date reported

Investigation commencement date

Name of Reporter

Name of Investigator, Title if applicable

Incident Location

Allegation Description

Full Name of Victim

Full Name of Perpetrator

Specify if Suspect is Staff or Resident

Outcome

Substantiated, Unsubstantiated, Unfounded, or Ongoing

Date Victim Notified of Outcome

If the victim has been notified of a completed investigations outcome when did this occur?

Conclusion Date of Investigation

If an investigation has already been conducted, please the date of completion.

Additional Information

Attach Reports and Follow-up

Drop your files here

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