Crime-Victim and Witness Court-Attendance Leave Request Packet
CRIME-VICTIM OR IMMEDIATE-FAMILY ATTENDANCE REQUEST PACKET
Colorado — Colo. Rev. Stat. § 24-4.1-303(8)
1. EMPLOYEE AND EMPLOYER
| Field | Entry |
|---|---|
| Employee | [________________________________] |
| Employer | [________________________________] |
| Position / department | [________________________________] |
| HR / supervisor contact | [________________________________] |
| Preferred confidential contact | [________________________________] |
2. COVERED-PERSON GATE
- ☐ Employee is the victim.
- ☐ Employee is a member of the victim's immediate family.
Relationship, if applicable: [________________________________]
Coverage confirmed by prosecutor, victim-witness program, or counsel: [NAME / OFFICE / DATE]
3. COVERED-ACTIVITY GATE
- ☐ Employee is honoring a subpoena to testify in a criminal proceeding.
- ☐ Employee is participating in preparation of a criminal proceeding.
Do not use this packet for an unrelated witness subpoena, a civil case, jury service, or general victim services outside criminal-proceeding preparation.
4. PROCEEDING AND ABSENCE
Court / prosecutor's office: [________________________________]
Case identifier, using the minimum information needed: [________________________________]
Testimony or preparation date and time: [________________________________]
Expected work absence: [DATE / START / END]
Travel or waiting time requested: [________________________________]
Operational notice date, method, and recipient: [________________________________]
Section 24-4.1-303(8) states no fixed employee notice deadline. Provide notice as soon as practicable without inventing a statutory condition.
Employee signature: __________________________ Date: ______________
5. MINIMUM SUPPORTING RECORD
- ☐ Criminal-proceeding subpoena
- ☐ Prosecutor or victim-witness program confirmation of preparation participation
- ☐ Other minimally necessary confirmation: [________________________________]
Do not attach police reports, medical records, victim addresses, or detailed offense narratives unless current law or counsel requires them.
6. PAY AND SCHEDULING
Section 24-4.1-303(8) prohibits discharge or discipline but does not state a paid-leave entitlement. Determine pay under another law, policy, or agreement.
- ☐ Unpaid time
- ☐ Accrued paid leave: [TYPE / HOURS]
- ☐ Schedule adjustment: [________________________________]
- ☐ Other: [________________________________]
7. EMPLOYER RESPONSE
- ☐ Covered person confirmed
- ☐ Criminal testimony or preparation route confirmed
- ☐ Absence recorded: [________________________________]
- ☐ Pay treatment recorded
- ☐ Counsel review required
An employer may not discharge or discipline a covered victim or immediate-family member for the protected activity.
Employer representative: _____________________ Date: ______________
Decision delivered to employee: [DATE / METHOD]
8. CHANGE LOG
| Date | Proceeding update | Employee notice | Revised work schedule |
|---|---|---|---|
| [________] | [________________] | [________________] | [________________] |
| [________] | [________________] | [________________] | [________________] |
OFFICIAL SOURCE VERIFIED
About This Template
Employment documents govern the relationship between a company and its workers, from offer letters and employment agreements through handbooks, performance reviews, and separations. Done right, they set clear expectations, protect against wrongful termination and discrimination claims, and give both sides a record to rely on. Done poorly, they invite lawsuits, agency complaints, and costly disputes.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on 2026-08-11.
Legal authority: Colo. Rev. Stat. § 24-4.1-303(8) (employment protection for a victim or immediate-family member honoring a criminal-testimony subpoena or participating in criminal-proceeding preparation)
Last updated: 2026-08-11
Get your Crime-Victim and Witness Court-Attendance Leave Request Packet, done and ready to use
Fill it in for your situation, adjust it for your state, and download the finished Word and PDF. Let the AI do it in about 5 minutes, or finish it yourself in the editor. $99 one time, or go Pro for access to every document and every Ezel app.