1. A. A registrant shall complete, sign, and date a registration statement form with a supervising authority.

2. B. A registration statement includes the following information supplied by the registrant:

   1. (1) Registrant's full name;

   2. (2) Address as follows:

      1. (a) Registrant's address, including county; or
      2. (b) If on work release or temporary leave, the address of the State or local correctional facility granting work release or temporary leave;
   3. (3) Registrant's fingerprints obtained at the time of registration by, or at the direction of, the supervising authority;

   4. (4) For nonresident registrants:

      1. (a) The name of the registrant's employer or school; and
      2. (b) The address, including county, of the registrant's work site or site of school attendance;
   5. (5) Registrant's signature; and
   6. (6) Date signed.

3. C. A registration statement includes the following information supplied by the supervising authority:

   1. (1) Registrant's photograph obtained at the time of registration;
   2. (2) Registrant's Social Security number, as required under Criminal Procedure Article, §11-706(a)(7), Annotated Code of Maryland;
   3. (3) Any aliases used by a registrant, including dates of birth and Social Security numbers;

   4. (4) For each crime for which the registrant is required to register:

      1. (a) Name of the crime, including statutory citation if applicable and available;
      2. (b) Date of conviction;
      3. (c) Name of Maryland court and county, or other court and location, where the registrant was convicted;
      4. (d) Date the crime was committed; and
      5. (e) Victim's age at the time the crime was committed;
   5. (5) Registrant category, or multiple categories if applicable;
   6. (6) Date of release;
   7. (7) Term of registration;

   8. (8) For a sexually violent predator:

      1. (a) Identifying factors, including scars, marks, tattoos, and other significant physical characteristics;
      2. (b) The prior sexually violent offense or offenses that are the basis for the proceeding under Criminal Procedure Article, §11-703, Annotated Code of Maryland; and
      3. (c) Dates and places of treatment received for a mental abnormality or personality disorder;
   9. (9) Information required in order to reimburse supervising authorities for the cost of processing registration statements under Criminal Procedure Article, §11-713(3), Annotated Code of Maryland; and
   10. (10) Any attachments necessary to facilitate the accurate and timely registration of the registrant.

Authority: Correctional Services Article, §2-109; Criminal Procedures Article, §§11-701—11-721, Annotated Code of Maryland

Effective date: September 2, 2002 (29:17 Md. R. 1381)

Regulation .17 amended effective December 6, 2007 (34:24 Md. R. 2158)