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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.

   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

Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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