Crime Victim Right of Access – Request Form

Before completing the form, make sure to thoroughly read the instructions. Failure to comply with these guidelines may result in denial.

Crime Victim Right of Access Request – Instructions

Crime Victim Right of Access Request – Unsworn Statement

Please complete the form below or the PDF form HERE. 

Name *

Address *

Telephone *

Email Address *

Date of Request *

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Year Year20232024202520262027

Status *

Crime Victim

Crime Victim Representative

Defendant in a Civil Action

Incident Date *

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Year Year20232024202520262027

Incident Number *

Name of Victim *

Name of Suspect/Defendant *

Reason for Request *

Pending Civil Action (Provide Case Caption & Docket Number)

Preparation of a Civil Action

Request Material *

Whom To Provide Request Material *

Requesting Party

Attorney for the Requesting Party

Attorney Information (If Applicable)

Firm

Name

Address

Telephone

Email Address

Leave this field blank