FRC Federal Report

Name of Organization *

Reporting Period *

1. Total number of victims who received services *

2. Total number of victims served who were NOT REGISTERED with the FRC *

3. Total number of anonymous contacts received *

4. Of the number of victims entered in question 1, how many were NEW victims who received services from your agency for the first time *

5. Race/Ethnicity for NEW Victims

Please provide how many participants fall in to each category:

5a1.) American Indian/Alaska Native *

5a2.) Asian *

5a3.) Black/African American *

5a4.) Hispanic or Latino *

5a5.) Native Hawaiian and Other Pacific *

5a6.) White Non-Latino/Caucasian *

5a7.) Some Other Race *

5a8.) Multiple Races *

5a9.) Unknown - NOT REPORTED by victim *

5a10.) Unknown - NOT TRACKED by agency *

5B.) Gender Identify for NEW victims

Please provide how many participants fall in to each category:

5b1.) Male *

5b2.) Female *

5b3.) Unknown-NOT REPORTED by victim *

5b4.) Unknown-NOT TRACKED by agency *

5b5.) Other *

5C.) Age for NEW victims

Please provide how many participants fall in to each category:

5c1.) 0-12 *

5c2.) 13-17 *

5c3.) 18-24 *

5c5.) 25-59 *

5c6.) 60 and Older *

5c7.) Unkown- NOT REPORTED by Victim *

5c8.) Unkown- NOT TRACKED by Agency *

6.) Types of Victimization

Please provide how many participants fall in to each category:

6s.) Mass Violence (Domestic/International) *

7.) Of the total number of victims receiving services, how many presented with more than one type of victimization (secondary victimization) *

8.) Special classifications of victims

Please provide how many participants fall in to each category:

8a.) Deaf/Hard of Hearing *

8b.) Homeless *

8c.) Immigrants/Refugees/Asylum Seekers *

8d.) LGBTQ *

8e.) Veterans *

8f.) Victims with Disabilities: Cognitive/Physical/Mental *

8g.) Victims with Limited English Proficiency *

8h.) Other *

8.) Number of victims assisted with a victim compensation application *

9) Of the number of victims entered in question 2, how many were New Victims NOT REGISTERED with the FRC who received services from your agency for the first time* *

10. Race/Ethnicity for NEW Victims NOT REGISTERED with the FRC

Please provide how many participants fall in to each category:

10a1.) American Indian/Alaska Native *

10a2.) Asian *

10a3.) Black/African American *

10a4.) Hispanic or Latino *

10a5.) Native Hawaiian and Other Pacific *

10a6.) White Non-Latino Caucasian *

10a7.) Some Other Race *

10a8.) Multiple Races *

10a9.) Unknown - NOT REPORTED by victim *

10a10.) Unknown - NOT TRACKED by agency *

10B.) Gender Identify for NEW Victims NOT REGISTERED with the FRC

Please provide how many participants fall in to each category:

10b1.) Male *

10b2.) Female *

10b3.) Unknown - NOT REPORTED by victim *

10b4.) Unknown - NOT TRACKED by agency *

10b5.) Unknown - Other *

10c1.) Age for New Victims NOT REGISTERED with the FRC

Please provide how many participants fall in to each category

10c1.) 0-12 *

10c2.) 13-17 *

10c3.) 18-24 *

10c4.) 25-59 *

10c5.) 60 and older *

10c6.) Unknown - NOT REPORTED by Victim *

10c7.) Unknown - NOT TRACKED by Agency *

11.) Special classifications of victims NOT REGISTERED with FRC

Please provide how many participants fall in to each category:

11a.) Deaf/Hard of Hearing *

11b.) Homeless *

11c.) Immigrants/Refugees/Asylum Seekers *

11d.) LGBTQ *

11e.) Veterans *

11f.) Victims with Disabilities: Cognitive/Physical/Mental *

11g.) Victims with Limited English Proficiency *

11h) Other *

12) Total number of victims who received services by service type AND number of times each services was provided.

Please answer below in each category:

12a.) Number of Victims who received Information and Referral *

12a1.) Number of times this service was provided: Information about the Criminal Justice Process *

12a2.) Number of Times this Service was Provided: Information about victims rights, how to obtain notifications, etc. *

12a3.) Number of times this service was provided: Referral to other victim service programs *

12a4.) Number of times this service was provided: Referral to other services, supports, and resources (includes legal, medical, faith-based organizations, address confidentiality programs, etc.) *

12b.) Number of victims who received : Personal Advocacy/Accompaniment *

12b1.) Total number of times this service was provided: Victim advocacy /accompaniment to emergency medical care *

12b2.) Total number of times this service was provided: Victim advocacy/accompaniment to medical forensic exam *

12b3.) Total number of times this service was provided: Law enforcement interview advocacy/accompaniment *

12b4.) Total number of times this service was provided: Individual advocacy (assistance in applying for public benefits, return of personal property or effects *

12b5.) Total number of times this service was provided: Performance of medical or nonmedical forensic exam or interview, or medical evidence collection *

12b6.) Total number of times this service was provided: Immigration assistance (e.g., special visas, continued presence application, and other immigration relief) *

12b7.) Total number of times this service was provided: Intervention with employer, creditor, landlord, or academic institution *

12b8.) Total number of times this service was provided: Child or dependent care assistance (provided by agency) *

12b9.) Total number of times this service was provided: Transportation assistance (provided by agency) *

12b10.) Total number of times this service was provided: Interpreter services *

12c.) Number of victims who received: EMOTIONAL SUPPORT OR SAFETY SERVICES *

12c1.) Total number of times this service was provided: Crisis intervention (in-person, includes safety planning, etc.) *

12c2.) Total number of times this service was provided: Hotline/crisis line counseling *

12c3.) Total number of times this service was provided: On-scene crisis response (e.g., community crisis response) *

12c4.) Total number of times this service was provided: Individual counseling *

12c5.) Total number of times this service was provided: Support groups (facilitated or peer) *

12c6.) Total number of times this service was provided: Other therapy (traditional, cultural, or alternative healing; art, writing, or play therapy, etc.) *

12c7.) Total number of times this service was provided: Emergency financial assistance (includes emergency loans and petty cash, payment for items such as food and/or clothing, changing windows and/or locks, taxis, prophylactic and nonprophylactic meds, durable medical equipment, etc.) *

12d.) Number of victims who received: SHELTER/HOUSING SERVICES *

12d1.) Total number of times this service was provided: Emergency shelter or safe house *

12d2.) Total number of times this service was provided: Transitional housing *

12d3.) Total number of times this service was provided: Relocation assistance *

12e.) Number of victims who received: CRIMINAL/CIVIL JUSTICE SYSTEM ASSISTANCE *

12e1.) Total number of times this service was provided: Notification of criminal justice events (e.g., case status, arrest, court proceedings, case disposition, release, etc.) *

12e2.) Total number of times this service was provided: Victim impact statement assistance *

12e3.) Total number of times this service was provided: Assistance with restitution (includes assistance in requesting and when collection efforts are not successful) *

12e4.) Total number of times this service was provided: Civil legal assistance in obtaining protection or restraining order *

12e5.) Total number of times this service was provided: Civil legal assistance with family law issues (e.g., custody, visitation, or support) *

12e6.) Total number of times this service was provided: Other emergency justice-related assistance *

12e7.) Total number of times this service was provided: Immigration attorney assistance (e.g., special visas, continued presence application, and other immigration relief) *

12e8.) Total number of times this service was provided: Prosecution interview advocacy/accompaniment (includes accompaniment with prosecuting attorney and with victim/witness) *

12e9.) Total number of times this service was provided: Law enforcement interview advocacy/accompaniment *

12e10.) Total number of times this service was provided: Criminal advocacy/accompaniment *

12e11.) Total number of times this service was provided: Other legal advice and/or counsel *

13.) Number of requests for services that were unmet because of organizational capacity issues. *

14.) Number of evaluations distributed to clients this reporting period seeking feedback on services received. Enter “0” if you do not survey clients. *