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FORMS

Our program uses several forms to convey information and receive information from clients.  Below you will find several of our most frequently used forms.  Some of these forms are returned to our office.  Other forms should be directed to other agencies to be most effective.  Use the information to the right to determine where you can send each form. 

Note: These forms are in Adobe Acrobat .pdf format.

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Type of Form

When to Use

Where to Return

How to Return

Address Change Use to notify Victim-Witness Program when you move or change your phone number Return to Victim-Witness Program Fax, Mail, or In Person
Request for Restitution Use to request restitution Return to Victim-Witness Fax, Mail, or in Person
Explanation of Restitution Use to assist in completing Request for Request for Restitution Form Does not need to be returned  
Request for Notification of Plea Agreement Use to request notification of plea agreement negotiations in your case Return to Victim-Witness Fax, Mail, or In Person
Request for Notification of Review/Release Hearing for Serious Juvenile Offenders Use to request notification when the defendant in your case is a juvenile who was committed to the Department of Juvenile Justice Return to Victim-Witness Fax, Mail, or In Person
Stalking Log Use when you feel that you may be a victim of stalking and want to document incidents Show This Form to Law Enforcement or Magistrate When You Seek Charges             _____
Request for Notification of Appeal Use when your case has been tried in Circuit Court and may be appealed to the Court of Appeals Return to the Attorney General's Office Mail to:
Office of the Attorney General
Attn: Jennifer Hasty
900 East Broad Street
Richmond, VA 23219
Request for Notification of Prisoner Release from the Local Jail Use when the defendant in your case is incarcerated at the Virginia Peninsula Regional Jail Return to the Virginia Peninsula Regional Jail Fax to: VPRJ Records Officer
(757)887-5833 or Mail to:
Virginia Peninsula Regional Jail
9320 Merrimac Trail
Williamsburg, VA  23185
Request for Notification of Prisoner Release from the Virginia Department of Corrections Use when the defendant in your case is incarcerated in the Virginia State Prison System, the Department of Corrections Return to the Department of Corrections, Victim Services Unit Fax to: Victim Services Unit, (804) 674-3054 or Mail to:
Virginia Department of Corrections, Victims Services Unit
6900 Atmore Drive
Richmond, VA  23225

 

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York County, Virginia
224 Ballard Street, P. O. Box 532
Yorktown, Virginia 23690-0532
757.890.3300