Form 13.18 Mary Rippy Violent Crime Act Notice

IN THE DISTRICT COURT OF _____________________ COUNTY

STATE OF OKLAHOMA

STATE OF OKLAHOMA,

Plaintiff,

v.

______________________________,

Defendant.

) ) ) ) )

Case No. _______________

NOTICE OF REGI S TR A TIO N REQ U IREME N T UNDER

THE M A R Y RIPPY VIOLENT CRIME OFFENDERS REGISTRATION A CT

You must register as a violent offender and comply with this Act . P ersons subject to the Act must register:

(1) With the Department of Corrections within three (3) days after being convicted or receiving a deferred or suspended sentence (if the person is NOT incarcerated) OR within three (3) days after release from a correctional institution; AND

(2) With the local law enforcement where the person resides or intends to reside within three (3) days after entering that jurisdiction; AND

(3) With BOTH the Department of Corrections AND local law enforcement no less than three (3) days prior to moving or leaving a previously registered address.

Important: A failure to comply with the requirements of the Mary Rippy Violent Crime Offenders Registration Act can result in additional felony charges being filed against you.

Defendant’s full name (Last, First, Middle)

Gender

¨ Female ¨ Male

Residence Address Upon Discharge or Release

City, State, Zip Code

Sentenced to Custody of DOC?

¨ Yes ¨ No

Year of Birth

Last Four Digits of Social Security #

_____________________________ Defendant

_________________________________

(Assistant) District Attorney Attorney for Defendant

DONE IN OPEN COURT this day of , 20 .

Judge of the District Court

To Court Clerk: A copy of this completed form is to be provided to the Mary Rippy Violent Crime Offenders Registration Unit of the DOC, pursuant to 57 O.S. §597 .