Shiawassee County, MI · Shiawassee County
Victim Rights Information and Victim Impact Statement
Victims or their representatives use this form to share case notification preferences and describe how the loss of a loved one affected them.
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 form lets victims request case updates, hearing notices, final-disposition information, and an opportunity to speak at sentencing. It also provides space for a victim impact statement, information about property damage and other financial losses, and insurance details. The statement may be included in the pre-sentence investigation report for the judge to consider, and may also be read by the defendant and their attorney.
Who needs it
A victim or the victim’s representative may complete the form to request rights or provide information about the crime’s impact and related losses.
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 [email protected].
About notarization
This document is signed and dated without a notary; the signer affirms the statements are 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.
- 2
Complete the Form
Answer the questions you wish to address, provide contact information, and sign and date the form.
- 3
Gather Attachments
Include extra pages if needed and attach bills, receipts, estimates, or other supporting documentation for claimed losses.
- 4
Return the Form
Send the signed form to the Prosecutor’s Office Crime Victim’s Rights Coordinator at the listed address or email.
Frequently asked questions
- What is the Victim Rights Information and Victim Impact Statement for?
- It lets victims request case-related notices and share how the loss affected them. It also provides space to describe property damage, financial losses, and insurance information.
- Do I need a notary for the Victim Rights Information and Victim Impact Statement?
- No. The document is signed and dated without a notary, and the signer affirms that the statements are true to the best of their knowledge.
- How do I submit the Victim Rights Information and Victim Impact Statement?
- Sign and return it to the Prosecutor’s Office Crime Victim’s Rights Coordinator at the Corunna address on the form, or email it to [email protected].
- Can I attach supporting documents?
- Yes. The form allows extra pages and asks for supporting documentation for financial losses, such as bills, receipts, or repair or replacement estimates.