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Instructions For Completing the Victim Impact Statement

Your completed Victim Impact Statement (PDF, 704KB),will be forwarded to the appropriate Probation Department to become a permanent part of the presentence report. Your thoughts and concerns about this case will be taken into consideration by the Judge or Magistrate before a decision is rendered at sentencing.

In completing the Victim Impact Statement (PDF, 704KB), please pay special attention to the following:

  1. Please list the value of all property losses, repairs, and/or medical/counseling expenses incurred as a result of the crime and indicate which of these expenses were covered by insurance. Please include any verifying documents.
  2. Please explain the emotional trauma experienced by you and/or your family as a result of the crime.
  3. You may also indicate your thoughts regarding the sentence/disposition of the defendant/juvenile offender in the space provided. Requests for restitution are applicable here. It is also important to realize that incarceration in the local jail/detention home is different from incarceration in the state institution (prison)/Department of Youth Services. If you do not oppose probation, any suggestions you can recommend may become special conditions of probation.

Should you have any questions or concerns regarding the completion of the form, you may contact the Advocate that has been providing assistance.