Dd Form 2909 - Victim Advocate And Supervisor Statements Of Understanding
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2VICTIM ADVOCATE AND SUPERVISOR STATEMENTS OF UNDERSTANDING
PRIVACY ACT STATEMENT
AUTHORITY: Section 301 of Title 5 U.S.C. and Chapter 55 of Title 10 U.S.C.
PRINCIPAL PURPOSE(S): Information on this form will be used to document elements of the sexual assault response and/or
reporting process and comply with the procedures set up to effectively manage the sexual assault prevention and response program.
ROUTINE USE(S): None.
DISCLOSURE: Completion of this form is voluntary; however, failure to complete this form with the information requested impedes
the effective management of care and support required by the procedures of the sexual assault prevention and response program.
1. VICTIM ADVOCATE STATEMENT OF UNDERSTANDING
I, (Full name)
, have volunteered, been assigned, or hired to be a
Sexual Assault Victim Advocate. (Initial those that apply to your category and mark "NA" to those that do not.)
a. ALL VICTIM ADVOCATES
INITIALS
(1) I understand that as a victim advocate I will handle confidential information of a personal nature.
(2) In restricted reporting, I understand and agree that it is my responsibility to keep all oral, written or electronic
communications amongst the victim, myself, and the Sexual Assault Response Coordinator (SARC) confidential,
unless the victim authorizes disclosure in writing or another exception applies. In unrestricted reporting, I understand
and agree with the above unless there is a request from someone with an official need to know.
(3) I understand that improper disclosure of any communications, whether under restricted or unrestricted reporting,
will result in removal as a victim advocate and may also result in disciplinary actions under the Uniform
Code of Military Justice, or other adverse personnel or administrative actions.
(4) I understand that any time I am performing duties in support of victim advocacy, I report directly to a Sexual Assault
Response Coordinator (SARC).
(5) I understand I may be on call and required to respond in person when on call. I acknowledge that if I am unable
to be reached or do not respond while on call, I can be removed as a victim advocate.
(6) I understand I am expected to attend or participate in monthly case management meetings for any case for which
I am the assigned victim advocate.
(7) I understand that, if a case proceeds to an Article 32, UCMJ investigative hearing or a court-martial, I may have to
accompany the victim during the duration of the hearing/trial. I understand that I may be called to testify in such a
hearing.
(8) Prior to my serving as a victim advocate, I understand that I am required to complete all required Victim Advocate
training.
b. ADDITIONAL AGREEMENTS FOR VOLUNTEER SERVICE AND COLLATERAL DUTY
(1) I understand that this collateral duty may impact my normal duty responsibilities.
(2) I understand that a Sexual Assault Response Coordinator (SARC) will discuss my collateral duty as a victim
advocate with my Supervisor prior to my serving as a Victim Advocate.
(3) I understand that voluntary service to be a victim advocate to provide assistance to victims of sexual assault does
not include the provision of counseling services to victims.
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DD FORM 2909, JUN 2006
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