How do I submit the Victim Impact Statement?

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

What can the child include in the statement?

The child can write or draw about how the crime affected them and their family, their feelings, and what they think the judge should do. They may answer as much or as little as they want.

Who may see the Victim Impact Statement?

The statement will be given to the judge before sentencing and will probably also be given to the defendant or juvenile and their lawyer.

Shiawassee County, MI · Shiawassee County

No notary required

Victim Impact Statement for School-Age Child

This statement lets a school-age child victim share with the judge how a crime affected them and their family before sentencing.

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

A school-age child victim can use this statement to tell the judge how the crime affected them and their family. The statement is given to the judge before the defendant or juvenile is sentenced and will probably also be given to the defendant or juvenile and their lawyer. It asks for the child’s name, age, grade, feelings about what happened, and thoughts about sentencing; answers are optional.

Who needs it

A school-age child victim who wants to share their feelings and thoughts about sentencing with the judge may complete this statement.

How to submit it

Return the statement at your earliest convenience to the Shiawassee County Prosecuting Attorney, 201 North Shiawassee Street, Surbeck Building, 2nd Floor, Corunna, Michigan 48817.

About notarization

This statement is signed without a notary; the document does not mention a notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

1
Download the Statement
Download the Victim Impact Statement for a school-age child victim.
2
Complete the Statement
Provide the child’s name, age, and grade, then write or draw about feelings, impacts, and sentencing thoughts. Questions may be left unanswered.
3
Add Extra Pages if Needed
The form says extra pages may be added if the child wants to provide more information.
4
Return It to the County
Return the statement at your earliest convenience to the Shiawassee County Prosecuting Attorney at the address on the form.

Frequently asked questions

Do I need a notary for the Victim Impact Statement?: No. This statement is signed without a notary, and the document does not mention a notarized or sworn attachment. The signer just signs and dates it.
How do I submit the Victim Impact Statement?: Return it at your earliest convenience to the Shiawassee County Prosecuting Attorney at 201 North Shiawassee Street, Surbeck Building, 2nd Floor, Corunna, Michigan 48817.
What can the child include in the statement?: The child can write or draw about how the crime affected them and their family, their feelings, and what they think the judge should do. They may answer as much or as little as they want.
Who may see the Victim Impact Statement?: The statement will be given to the judge before sentencing and will probably also be given to the defendant or juvenile and their lawyer.

Need something notarized?

This Victim Impact Statement for School-Age Child doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.