Shiawassee County, MI · Shiawassee County
Victim Impact Statement – Preschool Child Victim
This statement lets a preschool-age child victim share feelings about what happened and is completed with help from a parent or guardian.
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
The Victim Impact Statement gives a preschool-age child an opportunity to tell the judge how they feel about what happened and what they think should happen to the defendant or juvenile. A parent or guardian may read the directions aloud and help, but the child should use their own words. The form also asks about the child’s name, age, school, and whether they might want to speak to the judge.
Who needs it
A parent or guardian can help a preschool-age child victim complete and return this statement to the Prosecutor’s Office.
How to submit it
When complete, have a parent or guardian return it to the Prosecutor’s Office at 201 North Shiawassee Street, Surbeck Building, 2nd Floor, Corunna, Michigan 48817, or email [email protected].
About notarization
This document is signed without a notary; the form asks the child to share their feelings, and the parent or guardian returns it.
How to submit this form
- 1
Download the Statement
Download the Victim Impact Statement for a preschool child victim.
- 2
Help the Child Complete It
Read the directions aloud if needed, and let the child use their own words to share how they feel.
- 3
Add a Drawing or Writing
The child may use the page to draw, write a poem, tell a story, or share anything else about their feelings.
- 4
Return It to the Prosecutor’s Office
A parent or guardian can return the completed form by mail or email using the contact information on the form.
Frequently asked questions
- What is the Preschool Child Victim Impact Statement for?
- It gives a preschool-age child victim a way to tell the judge how they feel about what happened and what they think should happen to the defendant or juvenile.
- Who can help a child complete this statement?
- A parent or guardian may read the directions aloud and help the child fill it out. The form asks adults to let the child use their own words and not tell them what to write or draw.
- Do I need a notary for the Preschool Child Victim Impact Statement?
- No. This document is completed without a notary. The child shares their feelings, and a parent or guardian returns the statement to the Prosecutor’s Office.
- How do I submit the Preschool Child Victim Impact Statement?
- Have a parent or guardian send the completed form to the Prosecutor’s Office at 201 North Shiawassee Street, Surbeck Building, 2nd Floor, Corunna, Michigan 48817, or email [email protected].