Forms

The Dodge County Sheriff's Department has posted several forms which may be of assistance to the public in addition to the Deputies. The forms listed below may be down loaded and then printed. You may be asked by Deputies to print a form from this page and mail it to the Sheriff's Department. It will make dealing with paperwork more streamlined and efficient.

If asked by a Deputy to complete a form, please do so and mail it or drop it off in person to:

Attention: Deputy (Deputy requesting the form)
Dodge County Sheriff's Department
124 West St.
Juneau, WI 53039

Dodge County Victim Information
The Dodge County Victim Information sheet is given to victims of crimes. It contains much needed information related to victim's rights, crime victim compensation, restitution, etc. Important phone numbers are also listed on this form.

No Consent Form
The No Consent form is signed by victims of crimes saying they did not give consent for the crime to occur. This form is needed for successful prosecution of charged individuals.
The form has three parts:

  • Burglary
  • Theft/Criminal Damage to Property/Operate without owners consent (stolen autos)
  • Battery
When asked to do so, please fill out the appropriate portion of the form. Please be a detailed as possible. If you have questions, please contact the Deputy who asked you to complete the form.

Traffic Accident Statement Form
The traffic accident statement form is used by investigators to determine what occurred before, during and after a traffic crash.
When asked to complete, please fill out the form as thoroughly as possible. This is a two page form so please complete both pages.

Voluntary Statement Form
The voluntary statement form is used by victims, witnesses and other involved people. When asked to complete, please fill out the form in as much detail as possible. Please print and complete as many pages as necessary.

NCIC Stolen Property Worksheet Form
The National Crime Information Center (NCIC) requires that this form be completed and signed by the owner of an item that was stolen. Once this form is completed, the item may be placed into the NCIC computer. Once the item is entered, if the item is queried by a law enforcement agency, the item will be shown as stolen. This query can be done nation wide.
When asked to complete, please print this form and fill in all the blanks possible and sign the bottom.

Authorization for Disclosure of Health Information
The Authorization for disclosure of health information form must be signed before the Sheriff's Department can obtain such records. When asked, please fill the form out completely and forward it to the Sheriff's Department.

Community Program/Appearance Request
The Dodge County Sheriff's Department does frequent talks and demonstrations to public groups. If you would like the Sheriff's Department to appear for your organization, club or school, please down load this form and complete. The form should be sent to the Sheriff's Department and someone will contact you.

Community Program/Appearance Evaluation
The community program/appearance evaluation form is used by the Sheriff's Department to evaluate the effectiveness of the programs. Information obtained from the evaluations is used to improve the quality of the presentations. We request that the form be completed and forwarded to the Sheriff's Department after a presentation.

Business Information Form
The business information form is completed by business owners and forwarded to the Sheriff's Department. The Sheriff's Department uses the information obtained to contact key holders in event of an emergency. Having this information will make it much easier and faster to contact business owners. Please complete this form and forward it to the Sheriff's Department.

GPS Application
GPS (also known as electronic monitoring or the "bracelet"), allows an inmate to reside in his/her home while serving a sentence. The inmate wears an ankle bracelet that monitors his/her location. Anytime the inmate is outside of the home must be previously approved by a Programs Officer. This application may be completed after sentencing and dropped off at the main lobby or mailed to:

Attention: Programs Department
Dodge County Detention Facility
216 W. Center St.
Juneau, WI 53039

Huber Privilege Transfer Request
If the judge grants transfer privileges and the judgment states transfer privileges to a specific county to be served on electronic monitoring, a Huber Privilege Transfer Request may be completed and dropped off at the main lobby or mailed to:

Attention: Programs Department
Dodge County Detention Facility
216 W. Center St.
Juneau, WI 53039

This form is only to be used when sentenced in Dodge County. If someone is sentenced in another county and wants to transfer to Dodge County, he/she must contact the sentencing county and request a transfer from that county. Transfers to Dodge County cannot be initiated by the person who was sentenced.

GPS Work Schedule
When an inmate is serving time on GPS, the GPS Work Schedule must be completed and turned in at the main lobby.

Inmate Visitation Form
If you wish to be added to an Inmate’s visiting list, complete this form. Send this form to the inmate so that they can submit it. You should call before you come to visit to verify that you have been approved. All information must be accurate.

 

 

 

 

 

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