§543.1. Written notification by the courts; form to be used
STATE V. ______________ ______ JUDICIAL DISTRICT COURT
DOCKET # __________ PARISH OF ___________________
DIVISION ______ STATE OF LOUISIANA
Notification to Sex Offender
In accordance with R.S. 15:543, this court has the duty to provide
_______________________ (name of offender) with the information necessary for
awareness of sex offender and child predator registration and notification requirements.
_______________________ has pled guilty to, been found guilty of, or been adjudicated
delinquent of a violation of Title 14, Section ____ Subsection ____ of the Louisiana Revised
Statutes of 1950. This crime of conviction or adjudication is:
( ) Under R.S. 15:541, defined as an aggravated offense or, with regard to offenders
adjudicated as juveniles, an offense listed in R.S. 15:542(A)(3) which, pursuant to R.S.
15:544(B)(2)(a) or (b), requires lifetime registration and notification under Chapter 3-B of
Title 15 of the Louisiana Revised Statutes of 1950.
( ) A second conviction for an offense requiring registration and notification under
the provisions of Chapter 3-B of Title 15 of the Louisiana Revised Statutes of 1950 which,
pursuant to R.S. 15:544(B)(2)(c), requires lifetime registration and notification under Chapter
3-B of Title 15 of the Louisiana Revised Statutes of 1950.
( ) Under R.S. 15:541, defined as a sexual offense against a victim who is a minor
which, pursuant to R.S. 15:544(B)(1), requires 25 years of registration and notification under
Chapter 3-B of Title 15 of the Louisiana Revised Statutes of 1950.
( ) Is defined neither as an aggravated offense nor a sexual offense against a victim
who is a minor under R.S. 15:541 which, pursuant to R.S. 15:544(A), requires 15 years of
registration and notification under Chapter 3-B of Title 15 of the Louisiana Revised Statutes
of 1950.
The above registration and notification periods shall begin to toll from the date you
are released from prison, from the date of being placed on parole, supervised release
or probation, or from the date of your conviction, if you are not sentenced to a term
of imprisonment or jail. Additionally, you have been convicted of:
( ) An aggravated offense as defined in R.S. 15:541, you must update your
registration, in person, every ninety days from the date of initial registration, with the
appropriate law enforcement agencies as provided in R.S. 15:542.
( ) A sexual offense involving a victim who is a minor as defined in R.S. 15:541,
you must update your registration, in person, every six months from the date of initial
registration, with the appropriate law enforcement agencies as provided in R.S. 15:542.
( ) An offense not defined in R.S. 15:541 as an aggravated offense or a sexual
offense involving a victim who is a minor, you must update your registration, in person,
annually from the date of initial registration, with the appropriate law enforcement agencies
as provided in R.S. 15:542.
Based on the foregoing, you are hereby notified of the following:
(1) That you, within three (3) business days of establishing residence in Louisiana
or if a current resident, within three (3) business days after conviction or adjudication if not
immediately incarcerated or taken into custody, or within three (3) business days after release
from confinement, shall obtain and provide the following information to each sheriff or
police department in accordance with R.S. 15:542(B) (except in Orleans Parish where
registration shall take place with the New Orleans Police Department):
(a) Name and any aliases used by you.
(b) Physical address or addresses of residence.
(c) Name and physical address of place of employment. If you do not have a fixed
place of employment, you shall provide information with as much specificity as possible
regarding the places where you work, including but not limited to travel routes used by you.
(d) Name and physical address of the school in which you are a student.
(e) Two forms of proof of residence for each residential address provided, including
but not limited to a driver's license, bill for utility service, and bill for telephone service. If
those forms of proof of residence are not available, you may provide an affidavit of an adult
resident living at the same address. The affidavit shall certify that the affiant understands his
obligation to provide written notice pursuant to R.S. 15:542.1.4 to the appropriate law
enforcement agency with whom you last registered when you no longer reside at the
residence provided in the affidavit.
(f) The crime for which you were convicted and the date and place of such
conviction, and if known by you, the court in which the conviction was obtained, the docket
number of the case, the specific statute under which you were convicted, and the sentence
imposed.
(g) A current photograph, fingerprints, palm prints, and a DNA sample.
(h) Telephone numbers, including fixed location phone and mobile phone numbers
assigned to you or associated with your residence address.
(i) A description of every motorized vehicle registered to or operated by you,
including license plate number and vehicle identification number, and a copy of your driver's
license and identification card. This information should always be provided before the
vehicle is operated and, if the vehicle is registered to you, no more than three days after the
vehicle is registered, even if it has not yet been operated.
(j) Social security number and date of birth.
(k) A description of your physical characteristics, including but not limited to sex,
race, hair color, eye color, height, age, weight, scars, tattoos, or other identifying marks on
your body.
(l) Every e-mail address, online screen name, or other online identity used by you to
communicate on the Internet.
(m)(i) Temporary lodging information regarding any place where you plan to stay
for seven or more days and the length of the stay. This information shall be provided at least
three days prior to the date of departure unless an emergency situation has prevented the
timely disclosure of the information.
(ii) Temporary lodging information regarding international travel shall be provided
regardless of the number of days or nights you plan to stay. This information shall be
provided at least twenty-one days prior to the date of departure unless an emergency situation
has prevented the timely disclosure of the information. Upon receipt of this information by
the bureau from the law enforcement agency, this information shall then be sent by the
bureau to the United States Marshals Service's National Sex Offender Targeting Center for
transmission to the proper authorities.
(n) Travel and immigration documents, including but not limited to passports and
documents establishing immigration status.
(o) A state sex offender identification card from the office of motor vehicles.
(2) You shall register with the sheriff and police chief in each parish and
municipality where you maintain your residence(s) and with the sheriff of the parish in which
you are employed and attend school in accordance with R.S. 15:542. For initial registration
only, you, if you are not immediately taken into physical custody, shall register on the date
of conviction or adjudication with the sheriff in the parish of your conviction or adjudication
in accordance with R.S. 15:542. If you live, work, or attend school in Orleans Parish,
however, you shall register with the New Orleans Police Department and not with the sheriff
of that parish.
(3) If you are incarcerated as a result of the crime, you shall provide all information
listed in Paragraph (1) of this Section to the Department of Public Safety and Corrections,
or if a juvenile, to the office of juvenile justice, within ten (10) days prior to release from
confinement. You shall still appear in person at the sheriff's office within three (3) business
days of release from confinement. You shall register with the sheriff of the parish in which
the residence address you initially supplied to the department is located, unless the residence
has changed and you have registered with the sheriff of the parish in which the new residence
address is located.
(4) During the declaration of an emergency, if you enter an emergency shelter
you shall, within the first twenty-four (24) hours of admittance, notify the management of
the facility, the chief of police of the municipality, and the sheriff of the parish in which the
shelter is located of your sex offender status in accordance with R.S. 15:543.2.
(5) You have a duty to provide notice of change of address or other registration
information to the sheriff of the parish of residence within three business days. If the new
or additional residence is located in a different parish, then you must register with the sheriff
of the parish in which the new or additional residence is located. You shall also send written
notice within three business days of re-registering in the new parish to the sheriff of the
parish of former registration in accordance with R.S. 15:542.1.2. If the new address is
situated within a municipality, you must also register with the police department of that
municipality within three business days of establishing the residence.
(6) You shall give notice of the crime for which you were convicted, your name,
address, a physical description, and a photograph to the following in accordance with R.S.
15:542.1:
(a) At least one person in every residence or business within a one-mile radius in a
rural area and a three-tenths of a mile radius in an urban or suburban area of the address of
the residence where you will reside upon release, including all adult residents of your
residence.
(b) The superintendent of the school district where you will reside.
(c) The lessor, landlord, or owner of the residence or the property on which you
reside.
(d) The superintendent of the park, playground, and recreation districts within the
designated area where you will reside only if the victim was under eighteen (18) years of age
at the time of the commission of the offense.
*Any person convicted of a violation of R.S. 14:89 shall not have to include a
photograph in the notice described in Paragraph (6).
*Juveniles adjudicated for a crime requiring registration DO NOT have to provide
this community notice.
(7) In accordance with R.S. 15:542.1, community notification shall be given by mail
within twenty-one days of the date of conviction, if you are not taken into custody at the time
of conviction, and within twenty-one days of the date of release from confinement if
sentenced to a term of imprisonment. This notification shall also occur within twenty-one
days of each time you change residence within twenty-one days of establishing residency in
the new locale. This notification shall also occur at least every five years, whether or not you
change residences. This notification shall occur in each jurisdiction in which you regularly
reside.
*Juveniles adjudicated for a crime requiring registration DO NOT have to provide
this community notice.
(8) In accordance with R.S. 15:542.1, community notice shall be published on two
(2) separate days within this period in the official journal of the governing authority of the
parish where you plan to reside, unless ordered to be published in a different journal or
newspaper by the sheriff or local ordinance.
*Those convicted of R.S. 14:92(A)(7) are not required to publish notice in the
newspaper or official journal as provided in Paragraph (8).
*Juveniles who are adjudicated for a crime requiring registration DO NOT have to
provide this community notice.
(9) In accordance with R.S. 15:542.1(B), an offender who provides recreational
instruction to persons under the age of seventeen (17) shall post a notice in the building or
facility where such instruction is being given. This notice shall contain your name and
photograph, the date and jurisdiction of conviction, and the crime for which you were
convicted.
(10) In accordance with R.S. 15:542(C)(2), you must, within ten (10) days prior to
release from a correctional facility, provide a photograph and all other required registration
information to the Department of Public Safety and Corrections, or if a juvenile, to the office
of juvenile justice for purposes of the State Sex Offender and Child Predator Registry.
Providing false information during this process constitutes failure to register exposing you
to prosecution and the penalties detailed at the end of this document. The address provided
to the Department of Public Safety and Corrections through this process shall be presumed
to be your residence address. In accordance with R.S. 15:542(C)(2), you must register with
the sheriff of the parish in which this address is located within three business days of your
release from confinement, whether or not you actually establish a residence there, unless you
establish a residence elsewhere AND register with that jurisdiction within three business days
of your release from confinement. Failure to do so is a violation of the registration statutes
and will subject you to prosecution under R.S. 15:542.1.4.
(11) In accordance with R.S. 15:542.1.2, if you change your place of residence or
establish a new or additional residence, you shall appear in person at the office of the sheriff
of your parish of residence where you are currently registered within three (3) business days
of the change to register the new address. If the new address is located in a different parish,
then you shall also appear in person at the office of the sheriff of your new parish of
residence within the same time period. If your parish of residence is in Orleans Parish, then
the registration shall take place at the New Orleans Police Department and not with the
Orleans Parish Sheriff.
(12) In accordance with R.S. 15:542.1.2, if you are absent from your current address
of registration for more than thirty (30) consecutive days or an aggregate of thirty (30) days
or more in a calendar year, and are physically present at another address during that same
period of time, you shall register in person the new address as one of your addresses of
residence. If the new address is in a parish different from your current address, you shall also
register in person with the sheriff of the new parish within three (3) business days of the
tolling of the time periods listed. This requirement notwithstanding, you shall still notify the
sheriff of one of your parishes of residence in person if you are to take up temporary lodging
for seven (7) or more days. It is only after the thirty-day limit is exceeded that the new
registration shall occur.
(13) You shall also appear in person at the office of the sheriff of any of your
parishes of residence when there is a change in your name, place of employment, or
enrollment. This appearance shall occur within three (3) business days of the change. If
your address of residence is in Orleans Parish, this registration update shall take place at the
New Orleans Police Department and not with the Orleans Parish Sheriff's Office.
(14) You shall be prohibited from certain types of employment in accordance with
R.S. 15:553 for the duration of the registration period. A copy of this statute is provided to
you with this notification.
(15) In accordance with R.S. 15:542(C), you shall update your registration annually
on the anniversary of the initial registration by appearing in person at the office of each law
enforcement agency with which you are required to register and shall pay an annual
registration fee of sixty dollars ($60.00).
(16) Failure to comply with any of these registration and notification requirements
is a felony for which you shall be punished by a fine of up to one thousand dollars
($1,000.00) and imprisonment at hard labor for not less than two years nor more than ten
years without benefit of parole, probation, or suspension of sentence. Upon a second or
subsequent conviction, you shall be punished by a fine of up to three thousand dollars
($3,000.00) and imprisonment at hard labor for not less than five years, nor more than twenty
years without benefit of parole, probation, or suspension of sentence.
(17) For those offenders who have been convicted of a sex offense as defined in R.S.
15:541 involving a victim who was under the age of thirteen (13) at the time of the offense,
R.S. 14:91.2 is applicable which prohibits such offenders from residing or being present in
certain locations. A copy of this statute is provided to you with this notification.
(18) For those offenders who have been convicted of R.S. 14:81 (indecent behavior
with juveniles), R.S. 14:81.1 (pornography involving juveniles), R.S. 14:81.3
(computer-aided solicitation of a minor), or R.S. 14:283 (video voyeurism) or have been
convicted of a sex offense as defined in R.S. 15:541 in which the victim of the sex offense
was a minor, R.S. 14:91.5, which prohibits such offenders from using certain social
networking websites, is applicable. A copy of this statute is provided to you with this
notification.
THUS DONE AND SIGNED this ____ day of _____________, 20___ in open court,
in_____________, Louisiana.
______________________________
Judge, ____ Judicial District Court
I hereby certify that the above requirements have been explained to me, that I have
received a copy of the above notice of sex offender registration and notification
requirements, and a copy of the statutes providing for such requirements. I also understand
that I will be subject to any changes made by the legislature to the registration laws from this
day forward.
____________________________
(Name of Sex Offender)
____________________________
Defense Counsel Signature
Acts 2006, No. 175, §1; Acts 2007, No. 460, §2, eff. Jan. 1, 2008; Acts 2008, No.
816, §1; Acts 2009, No. 205, §2; Acts 2010, No. 973, §1, eff. July 6, 2010; Acts 2012, No.
50, §1; Acts 2012, No. 205, §2; Acts 2013, No. 408, §1; Acts 2016, No. 562, §1.