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

CRIME-VICTIM AND WITNESS COURT-ATTENDANCE LEAVE REQUEST PACKET

Minnesota — Minn. Stat. § 611A.036

This packet is limited to criminal proceedings related to the victim's case. It does not cover jury duty, an unrelated witness subpoena, a civil case, or general victim services outside a criminal proceeding.

1. EMPLOYEE AND EMPLOYER

2. SELECT ONE ELIGIBILITY ROUTE

Route A — victim or witness requested to testify

• ☐ Employee is a victim or witness.
• ☐ Employee has been subpoenaed or requested by the prosecutor to attend court to give testimony.
• ☐ The proceeding relates to the victim's case.

Route B — victim of a violent crime

• ☐ Employee is the victim of a violation or attempted violation listed in Minn. Stat. § 611A.036, subd. 7.
• ☐ The proceeding relates to the victim's case.

Route C — spouse or immediate family member

• ☐ Employee is the spouse or immediate family member of a violent-crime victim.
• ☐ The underlying violation or attempt is listed in Minn. Stat. § 611A.036, subd. 7.
• ☐ The proceeding relates to the victim's case.

The prosecutor, victim advocate, or counsel should confirm the subdivision 7 violent-crime gate without disclosing unnecessary offense details to the employer.

Confirmation contact / date: [________________________________]

3. PROCEEDING AND ABSENCE

Court: [________________________________]

Case identifier, using the minimum information needed: [________________________________]

Proceeding date and time: [________________________________]

Employee's expected work absence: [DATE / START / END]

Travel or waiting time reasonably needed: [________________________________]

Employee requests reasonable time off from work for the covered attendance.

4. NOTICE TIMING

Minn. Stat. § 611A.036, subd. 4 requires 48 hours' advance notice unless notice is impracticable or an emergency prevents it.

• ☐ At least 48 hours' advance notice is being given.
• ☐ Less notice is being given because 48-hour notice is impracticable.
• ☐ An emergency prevented 48-hour notice.

Brief timing explanation, without unnecessary case facts: [________________________________]

Notice date, time, method, and recipient: [________________________________]

Employee signature: __________________________ Date: ______________

5. MINIMUM VERIFICATION

An employer may request verification supporting the reason for the absence. Attach only the minimum responsive record.

• ☐ Employer has not requested verification.
• ☐ Subpoena or prosecutor request confirming Route A
• ☐ Court or prosecutor scheduling notice
• ☐ Prosecutor, victim-advocate, or counsel confirmation of Route B or C
• ☐ Other minimally necessary verification: [________________________________]

Do not attach charging papers, police reports, medical records, a victim address, or detailed offense narratives unless current law or counsel specifically requires them.

Verification delivered: [DATE / SECURE METHOD / RECIPIENT]

Section 611A.036 requires the employer to keep all information related to this leave confidential.

6. PAY AND SCHEDULING

Section 611A.036 supplies reasonable time off but does not specify paid leave. Determine pay under another applicable law, employer policy, or collective-bargaining agreement.

• ☐ Unpaid time
• ☐ Accrued paid leave: [TYPE / HOURS]
• ☐ Paid administrative leave under another authority: [________________________________]
• ☐ Schedule adjustment: [________________________________]

7. EMPLOYER RESPONSE

• ☐ Eligibility route documented
• ☐ Criminal proceeding related to the victim's case confirmed
• ☐ Notice timing recorded
• ☐ Verification not requested
• ☐ Minimum verification received
• ☐ Reasonable time off approved: [________________________________]
• ☐ Counsel or labor-relations review required

The employer may not discharge, discipline, threaten, discriminate against, or penalize an employee regarding compensation or other listed employment terms because the employee took reasonable time off under § 611A.036.

Employer representative: _____________________ Date: ______________

Decision delivered to employee: [DATE / METHOD]

Confidential storage location / access role: [________________________________]

8. CHANGE OR CANCELLATION LOG

OFFICIAL SOURCES VERIFIED

• Minnesota Revisor of Statutes — Minn. Stat. § 611A.036
• Minnesota 2026 Session Laws, Chapter 115 — final enacted HF 3825 screened for § 611A.036