SOVA Web Order Form for Publication Materials

Return by Fax (803) 734-1708 or

Mail to: 1205 Pendleton St., Room 401, Columbia, SC 29201

First Name: Middle Initial: Last Name: Today’s Date: ______

Title: Agency/Organization:______

Phone Number: Ext: Cell Phone Number: Fax Number: ______

Street Address or P.O. Box Number: ______

City/State/Zip Code: Email: ______

______

Because materials are provided to you at no cost, we will fill orders as supplies allow. Some items are mailed in limited quantities. Allow at least two weeks for delivery. Please note, the application packet with supplemental forms and all brochures can be found on our website at www.sova.sc.gov. **Also please indicate on the last page of the order form the total amount of publication items requested.

Applications: (mailing maximum 20)

□  Application Packet with supplemental forms (please use most current edition from your supply)

Brochures: (mailing maximum 25)

□  Q&A Brochure

□  SOVA - Who We Are Brochure

□  Appeals Brochure

□  Restitution & Subrogation Brochure

□  SOVA Sexual Assault Program Brochure

□  SOVA in the Schools Brochure

□  Auditing Brochure

□  Bullying Brochure

SOVA Flyers: (mailing maximum: 10)

□  Victim Rights Flyer

□  Local Resources for Victims in South Carolina Flyer

□  National Resource Flyer

□  Payment and Reimbursement at a Glance Flyer

□  SOVA Benefits Chart Flyer

Directory of Help: (mailing maximum 25)

□  Directory of Help Resource List

Miranda Cards: (mailing maximum 50)

□  S.C. Victims’ Right-Miranda Card

Fact Sheets: (mailing maximum 10)

□  Fact Sheet for Forensic Interviews for Child Physical and Sexual Assault

□  Billing Fact Sheet for Sexual Assault Protocol

□  SOVA Health Care for Providers

SOVA Posters: (mailing maximum 10)

□  Children of Domestic Violence 8.5 x 11 poster

□  Domestic Violence Poster 8.5 x 11 poster

□  Sexual Assault 8.5 x 11 poster

□  Child Abuse 8.5 x 11 poster

□  Vulnerable (elderly) Adult 8.5 x 11 poster

□  High School Bullies 8.5 x 14 poster

□  Gang/Bully 8.5 x 11 poster

□  College Domestic Violence 8.5 x 11 poster

□  Scared at School (young children) 8.5 x 14 poster

□  Victim Rights 8.5 x 14 poster

□  College Poster

□  Funeral Poster

Children’s Court Notebooks: (mailing maximum 4)

□  General Sessions Court Notebook

□  Kids at the Courthouse, Coloring & Activity Book

□  My Whole Body Checkup, Coloring & Activity Book

Spanish Materials: (mailing maximum 20)

□  SOVA’s Mission Statement

□  Victims’ Rights

□  Frequently Asked Questions

□  Local Resource List

□  National Resource List

□  Benefits Quick Reference Chart

□  Domestic Violence Poster (mailing maximum 10)

□  Payment and Reimbursement At-A-Glance

□  Forensic Interview Release Form

*Total Amount of Publication Items Requested: ______

------

FOR SOVA USE ONLY

SOVA COMMENTS ______

DATE MAILED ______

TOTAL AMOUNT OF PUBLICATIONS MAILED______