Crime-Victim and Witness Court-Attendance Leave Request Packet
CRIME-VICTIM OR REPRESENTATIVE PARTICIPATION REQUEST PACKET
Delaware — 11 Del. C. § 9409
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 representative of the victim.
Representative capacity, using the minimum information needed: [________________________________]
Coverage confirmed by prosecutor, victim-services provider, or counsel: [NAME / OFFICE / DATE]
3. SELECT ONE PROTECTED ROUTE
- ☐ Participation, at the prosecutor's request, in preparation for a proceeding.
- ☐ Attendance at a proceeding because attendance is reasonably necessary to protect the victim's interests.
- ☐ Attendance at a proceeding in response to a subpoena.
Proceeding / preparation description: [________________________________]
4. ABSENCE REQUEST
Court or prosecutor's office: [________________________________]
Case identifier, using the minimum information needed: [________________________________]
Date and time: [________________________________]
Expected work absence: [DATE / START / END]
Operational notice date, method, and recipient: [________________________________]
Section 9409 states no fixed employee notice deadline or required verification form. Provide prompt operational notice without inventing a statutory condition.
Employee signature: __________________________ Date: ______________
5. MINIMUM SUPPORTING RECORD
- ☐ Prosecutor preparation request
- ☐ Court or prosecutor confirmation that attendance is reasonably necessary
- ☐ Subpoena
- ☐ Other minimally necessary record: [________________________________]
Do not attach charging papers, police reports, medical records, victim addresses, or detailed offense narratives unless current law or counsel requires them.
6. PAY AND SCHEDULING
Section 9409 prohibits discharge or discipline but does not specify paid leave.
- ☐ Unpaid time
- ☐ Accrued paid leave: [TYPE / HOURS]
- ☐ Schedule adjustment: [________________________________]
- ☐ Other treatment: [________________________________]
7. EMPLOYER RESPONSE
- ☐ Victim or representative status confirmed
- ☐ Protected route confirmed
- ☐ Absence recorded: [________________________________]
- ☐ Pay treatment recorded
- ☐ Other applicable victim/witness employment law reviewed as directed by § 9409(b)
- ☐ Counsel review required
An employer may not discharge or discipline a covered victim or representative for the selected protected route.
Employer representative: _____________________ Date: ______________
Decision delivered to employee: [DATE / METHOD]
8. CHANGE LOG
| Date | Proceeding update | Employee notice | Revised 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: 11 Del. C. § 9409 (limits on employer discharge or discipline of a victim or victim representative for specified preparation and proceeding attendance)
Last updated: 2026-08-11
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