What is the Victim Rights Information and Impact Statement for?

It lets victims request case updates, hearing notices, final-disposition information, or an opportunity to speak at sentencing, and provide information about the crime’s impact and related losses.

Who can complete this form?

A victim may complete the form to request available case information or notices, provide a victim impact statement, and report property damage or other financial losses.

How do I submit the Victim Rights Information and Impact Statement?

Sign and return it to the Prosecutor’s Office Crime Victim’s Rights Coordinator at the address on the form, or email it to bhaber@shiawassee.net.

Shiawassee County, MI · Shiawassee County

No notary required

Victim Rights Information and Impact Statement

This form lets crime victims in Shiawassee County request case notices and share information about injuries, losses, and sentencing with the Prosecutor’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

Victims can use this form to request case updates, hearing notices, information about the final disposition, and an opportunity to speak at sentencing. It also provides space for a victim impact statement and information about property damage, other financial losses, and insurance; complete the relevant sections if you wish to provide that information for the case.

Who needs it

Crime victims who want to request case information or notices, share a victim impact statement, or report losses for consideration in the case can complete this form.

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 without a notary; the signer just signs and dates the form.

How to submit this form

1
Download the Form
Download the Victim Rights Information and Impact Statement.
2
Complete Relevant Sections
Answer the questions you wish to answer and provide contact information and any victim impact or loss details.
3
Gather Supporting Documents
If reporting losses, attach available bills, receipts, repair or replacement estimates, and supporting documentation.
4
Sign and Submit
Sign and date the form, then return it to the Prosecutor’s Office Crime Victim’s Rights Coordinator by mail or email.

Frequently asked questions

What is the Victim Rights Information and Impact Statement for?: It lets victims request case updates, hearing notices, final-disposition information, or an opportunity to speak at sentencing, and provide information about the crime’s impact and related losses.
Who can complete this form?: A victim may complete the form to request available case information or notices, provide a victim impact statement, and report property damage or other financial losses.
Do I need a notary for the Victim Rights Information and Impact Statement?: No. This document is signed without a notary; the signer just signs and dates the form.
How do I submit the Victim Rights Information and Impact Statement?: Sign and return it to the Prosecutor’s Office Crime Victim’s Rights Coordinator at the address on the form, or email it to [email protected].

Need something notarized?

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