Shiawassee County, MI · Shiawassee County
Crime Victim Notification Request
Victims or concerned citizens use this form to request notifications about a prisoner from the Michigan Department of Corrections.
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
This form requests that the Michigan Department of Corrections register a victim or concerned citizen to receive notifications about a prisoner. Send it after the defendant has been sentenced to prison; the requester must be at least 18. It asks for prisoner and victim details, contact information, the requester’s relationship to the defendant, and a signed, dated request. If the requester reports threats, the form asks for an explanation on a separate sheet.
Who needs it
A victim or other person requesting notifications about a prisoner may use this form if they are at least 18.
How to submit it
After the defendant has been sentenced to prison, mail the request to Michigan Department of Corrections, Crime Victim Services, PO Box 30003, Lansing, MI 48909.
About notarization
This document is signed without a notary; the requester signs and dates the form, and any threat explanation is provided on a separate sheet.
How to submit this form
- 1
Download the Form
Download the Crime Victim Notification Request form.
- 2
Complete the Form
Print the form and provide the prisoner, victim, and requester information. Complete the required relationship information and sign and date it.
- 3
Gather Any Separate Explanation
If you have been threatened by the defendant, explain the threats on a separate sheet of paper.
- 4
Mail the Request
After the defendant has been sentenced to prison, mail the request to MDOC Crime Victim Services at the address printed on the form.
Frequently asked questions
- Who can request crime victim notifications?
- A victim or concerned citizen who is at least 18 can request notifications. The form asks for prisoner information, victim details, contact information, and the requester’s relationship to the defendant.
- When should I send the request?
- The form says to forward the request to the Michigan Department of Corrections after the defendant has been sentenced to prison. It says MDOC will send a letter acknowledging receipt after receiving the defendant.
- Do I need a notary for the Crime Victim Notification Request?
- No. The requester signs and dates the form without a notary. If reporting threats, the requester must explain them on a separate sheet; the form does not require that sheet to be notarized.
- How do I submit the Crime Victim Notification Request?
- Mail it to Michigan Department of Corrections, Crime Victim Services, PO Box 30003, Lansing, MI 48909, after the defendant has been sentenced to prison.