Shiawassee County, MI · Shiawassee County
Victim Rights Information and Victim Impact Statement – Adult Parent of a Child Victim
This form lets an adult parent of a child victim request case information and share the effects of a crime with the court.
At a glance
- Issued by
- City of Shiawassee County · Shiawassee County, Shiawassee County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- shiawassee.net
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
An adult parent of a child victim can use this form to request case updates, court hearing notices, information about the final disposition, and an opportunity to speak at sentencing. The parent may also complete the victim impact statement for the judge to consider at sentencing. It asks about the child’s injuries and experiences, effects on the family, and the sentence or requirements the parent would like the court to consider.
Who needs it
An adult parent of a child victim may complete this form to request victim rights and provide a statement about the crime’s impact.
How to submit it
Sign and return the completed form to the Prosecutor’s Office Crime Victim’s Rights Coordinator at 201 North Shiawassee Street, Surbeck Building, Second Floor, Corunna, Michigan 48817, or [email protected].
About notarization
This document is signed and dated without a notary; the signer also states the information is true to the best of their knowledge.
How to submit this form
- 1
Download the Form
Download the Victim Rights Information and Victim Impact Statement for an adult parent of a child victim.
- 2
Complete the Form
Answer the questions you choose, provide contact information, and write any victim impact statement responses you wish to share.
- 3
Gather Any Extra Pages
Attach extra pages if needed to complete your responses, and indicate which question each response addresses.
- 4
Sign and Return the Form
Sign and date the form, then return it to the Prosecutor’s Office Crime Victim’s Rights Coordinator by mail or email.
Frequently asked questions
- Do I need a notary for the Victim Rights Information and Victim Impact Statement?
- No. The signer signs and dates the form and states that its information is true to the best of their knowledge; no notary is required.
- How do I submit the adult parent victim form?
- Sign and return it to the Prosecutor’s Office Crime Victim’s Rights Coordinator at the address on the form or by email to [email protected].
- What can I request on this form?
- You can request case updates, scheduled hearing notices, final disposition information, and an opportunity to speak at sentencing.
- What can I include in the victim impact statement?
- You may describe the child’s injuries and emotional or community experiences, effects on you and your family, victim services received, and the sentence or requirements you would like the court to consider.