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2. Submit a Form
   As the victim of a crime, you should have received paperwork via mail that includes a Victim Opinion Form, Restitution Claim Loss Affidavit, and Victim Impact Statement information. To submit any of these forms, please use the upload feature below and it will be sent to the Victim Assistance Coordinator's via email.
4. First Name*
5. Last Name*
7. Phone Number*
8. Email Address
10. Defendant Name and/or Court File Number*
12. Victim Opinion Form
14. Restitution Affidavit/Claim Loss Form
16. Supporting Documentation for Restitution (eg. receipts, estimates, etc)
18. Victim Impact Statement (VIS)
20. Other
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field