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Quarter 1 (January-March)Notes:
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Category
Original Data
Prorated Data
Total SalaryBilled SalaryProration %
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#DIV/0!
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1. Total Individuals who received services#DIV/0!^For the staff funded by the grant you are reporting on, enter their total salaries (100% of their salaries) for the quarter in the Total Salary box.^Then, enter the total of the portion of all of their salaries being charged to the grant for the quarter you are reporting on.
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2. Total number of anonymous contacts#DIV/0!
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3. Total New individuals who received services#DIV/0!
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Demographics
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A. Race/Ethnicity
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American Indian or Alaska Native#DIV/0!
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Asian#DIV/0!Demographic section sums will turn red if they are not equal to #3 (Total New Victims). This is due to a rounding issue. You will have to adjust to make the numbers equal.
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Black or African American#DIV/0!
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Hispanic or Latino#DIV/0!
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Native Hawaiian or other Pacific Islander#DIV/0!
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White Non-Latino or Caucasian#DIV/0!
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A Different Race#DIV/0!
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Multiple Races#DIV/0!
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Not Reported#DIV/0!
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Not Tracked#DIV/0!
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SUM#DIV/0!
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B. Gender Identity
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Male#DIV/0!
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Female#DIV/0!
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A Different Gender Identity#DIV/0!
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Not Reported#DIV/0!
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Not Tracked#DIV/0!
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SUM#DIV/0!
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C. Age
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0-12#DIV/0!
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13-17#DIV/0!
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18-24#DIV/0!
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25-59#DIV/0!
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60 and Older#DIV/0!
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Not Reported#DIV/0!
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Not Tracked#DIV/0!
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SUM#DIV/0!
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5. Types of Victimizations
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A. Number of Individuals who received services based on a presenting victimization
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Adult Physical Assault#DIV/0!
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Adult Sexual Assault#DIV/0!
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Adults Sexually Assaulted as Children#DIV/0!
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Arson#DIV/0!
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Bullying#DIV/0!
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Burglary#DIV/0!
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Child Physical Abuse or Neglect#DIV/0!
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Child Pornography#DIV/0!
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Child Sexual Abuse/Assault#DIV/0!
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Domestic and/or Family Violence#DIV/0!
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DUI/SWI Incidents#DIV/0!
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Elder Abuse or Neglect#DIV/0!
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Hate Crime#DIV/0!
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Human Trafficking: Labor#DIV/0!
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Human Trafficking: Sex#DIV/0!
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Identify Theft/Fraud/Financial Crime#DIV/0!
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Kidnapping (Non-Custodial)#DIV/0!
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Kidnapping (Custodial)#DIV/0!
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Mass Violence#DIV/0!
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Other Vehicular Victimization#DIV/0!
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Robbery#DIV/0!
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Stalking/Harassment#DIV/0!
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Survivors of Homicide Victims#DIV/0!
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Teen Dating Victimization#DIV/0!Victimization sum will turn red if less than #1 (Total Number of Victims). This is due to a rounding issue. You will have to adjust to make the numbers equal.
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Terrorism#DIV/0!
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Other#DIV/0!
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SUM#DIV/0!
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Individuals with more than one type of victimization#DIV/0!
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C. Special Classification of Individuals
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Deaf/Hard of Hearing#DIV/0!
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Homeless#DIV/0!
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Immigrants/Refugees/Asylum Seekers#DIV/0!
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LGBTQ#DIV/0!
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Veterans#DIV/0!
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Victims with Disabilities: Cognitive/Physical/Mental#DIV/0!
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Victims with Limited English Proficiency#DIV/0!
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Other#DIV/0!
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Direct Services
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Number of Individuals assisted with a victim compensation application#DIV/0!
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A. Information and Referral
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Number of individuals who received services in this category#DIV/0!
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A1. Information about the criminal justice process#DIV/0!
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A2. Information about victim rights, how to obtain notifications#DIV/0!
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A3. Referral to other victim service programs#DIV/0!
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A4. Referral to other services, supports, and resources#DIV/0!
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B. Personal Advocacy/Accompaniment
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Number of individuals who received services in this category#DIV/0!
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B1. Victim Advocacy/accompaniment to emergency medical care#DIV/0!
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B2. Victim advocacy/accompaniment to medical forensic exam#DIV/0!
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B3. Law enforcement interview advocacy/accompaniment#DIV/0!
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B4. Individual advocacy#DIV/0!
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B5. Performance of medical or nonmedical forensic exam or interview or medical evidence collection
#DIV/0!
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B6. Immigration assistance#DIV/0!
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B7. Intervention with employer, creditor, landlord, or academic institution#DIV/0!
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B8. Child or dependent care assistance#DIV/0!
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B9. Transportation assistance#DIV/0!
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B10. Interpreter Services#DIV/0!