LAP Forms

Connecticut’s Lethality Assessment Program screen is an evidence based tool developed by Dr. Jacquelyn Campbell. The screen, with the accompanying protocol, identifies survivors at the greatest risk and connects them to their local domestic violence advocate. Connecticut’s most up to date version of her risk assessment is available below.  

Dr. Campbell’s research of 2,500 intimate partner homicides provided an insight into specific behaviors, situations, and actions present in these cases. 

Domestic Violence Lethality Screen for First Responders

English Forms:

LAP Form  Fillable LAP Form

Spanish Forms:

Spanish LAP Form  Spanish Fillable LAP Form