Crime-Victim and Witness Court-Attendance Leave Request Packet - Delaware

Delaware Employment & HR Updated August 11, 2026 Free Word and PDF

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

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About this template

Last updated
August 11, 2026
Citations checked
August 11, 2026
Jurisdiction
Delaware
Category
Employment & HR

Legal authority

  • 11 Del. C. § 9409 (limits on employer discharge or discipline of a victim or victim representative for specified preparation and proceeding attendance)

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.

Not legal advice

This template is provided for informational purposes. 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 August 11, 2026.

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