Crime Impact Statement

Crime Victim Impact Statement

  • ** To be completed by the victim or a family member of the victim**
  • Date Format: MM slash DD slash YYYY
  • The information provided may help the Prosecutor and Judge better understand how this crime has affected you and your family. Please note that this form may be made available to the Defendant and/or the Defendant’s Attorney for review. If you request your address and/or phone number to be kept confidential, please note that on this form and your information will be kept confidential to the extent the law allows. Please attach additional pages as necessary should you need additional space to answer questions.
  • FOR COURT USE, ATTACH COPIES OF BILLS AND RECEIPTS.
    • Note: This Impact Statement is not a claim for the State Crime Victim Compensation, for which application can be obtained from the Governor’s Criminal Justice Coordinating Council, (404) 657- 2222 or toll free at (800) 547-0060. http://crimevictimscomp.ga.gov

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