Not all of the people I serve are receiving services for domestic violence, sexual assault, or stalking. Can I use the standard consent form (DCH-3927) for these individuals?

  • If the agency you work for receives grant funding under the Violence Against Women Act and/or the Family Violence Prevention and Services Act, follow your federal grant guidelines.
  • If the agency you work for does NOT receive federal funding under the Violence Against Women Act or the Family Violence Prevention and Services Act, the answer is YES. Use a separate form only for individuals who received services for domestic violence, sexual assault, or stalking