As the victim1 of a crime allegedly committed by the person named below who is
committed to the Department of Behavioral Health and Developmental Disabilities
(DBHDD), I would like to receive notifications from DBHDD when the committed
- Is discharged from a DBHDD hospital or designated secure facility for
competency restoration of juveniles.
- Escapes from such a DBHDD facility.
- Is subsequently readmitted to such a DBHDD facility.
I understand that I will not receive any notifications unless I ask to receive
them, by completing and returning the original of this form to the address
indicated below. I understand that if my address or telephone number changes in
the future, I am responsible for contacting DBHDD at the address or telephone
number below to give DBHDD my new address or telephone number.
I understand that this procedure does not entitle me to receive any additional
information about the accused person named below. I understand that DBHDD will
not inform me of the location or whereabouts of the accused person named below.
If my address or telephone number(s) changes, it is my responsibility to give my
new information to:
Director of Forensic Services
Georgia Department of Behavioral Health and Developmental Disabilities
2 Peachtree Street, N.W. Suite 23-493
Atlanta, Georgia 30303