What information does the Business Crime Victim Impact Statement request?

It asks about property damage, financial losses, insurance, the crime’s impact, safety concerns, contact information, and preferences for case updates and participation.

Who should complete this statement?

A representative of a business affected by a crime can use it to report losses and describe the impact on the business.

Do I need a notary for the Business Crime Victim Impact Statement?

No. Sign and date the statement; it does not require notarized or sworn attachments.

How do I submit the Business Crime Victim Impact Statement?

Return it at your earliest convenience to the Shiawassee County Prosecuting Attorney at the address on the form, or email it to bhaber@shiawassee.net.

Shiawassee County, MI · Shiawassee County

No notary required

Business Crime Victim Impact Statement

A statement for a business representative to report losses, describe the crime’s impact, and share safety concerns with the Shiawassee County Prosecuting Attorney’s Office.

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: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This statement lets a business describe property damage, other financial losses, insurance payments, and the crime’s impact for a criminal case. The business representative can identify safety concerns, provide contact details, and indicate preferences about case updates, hearings, and speaking at sentencing. Return it to the Shiawassee County Prosecuting Attorney’s Office with available bills, receipts, repair estimates, and other supporting documentation for claimed losses.

Who needs it

A business representative whose organization was affected by a crime and seeks to report losses or share its impact in the case.

How to submit it

Return it at your earliest convenience to the Shiawassee County Prosecuting Attorney, 201 North Shiawassee Street, Surbeck Building, 2nd Floor, Corunna, Michigan 48817, or email [email protected].

About notarization

This statement is signed and dated without a notary; the form does not require notarized or sworn attachments.

How to submit this form

1
Download the Statement
Download the Business Crime Victim Impact Statement PDF.
2
Complete the Statement
Provide business and representative details, describe losses and the crime’s impact, and answer the case-notification questions.
3
Gather Supporting Documents
Attach available bills, receipts, repair estimates, and supporting documentation for claimed losses.
4
Return It to the County
Return the statement at your earliest convenience to the Prosecuting Attorney’s Office or email it to the address shown on the form.

Frequently asked questions

What information does the Business Crime Victim Impact Statement request?: It asks about property damage, financial losses, insurance, the crime’s impact, safety concerns, contact information, and preferences for case updates and participation.
Who should complete this statement?: A representative of a business affected by a crime can use it to report losses and describe the impact on the business.
Do I need a notary for the Business Crime Victim Impact Statement?: No. Sign and date the statement; it does not require notarized or sworn attachments.
How do I submit the Business Crime Victim Impact Statement?: Return it at your earliest convenience to the Shiawassee County Prosecuting Attorney at the address on the form, or email it to [email protected].

Need something notarized?

This Business Crime Victim Impact Statement doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.