Victim Notification Form

Offender's Name*
Case Number (if known):
Incident Date:*
Date Format: MM slash DD slash YYYY
I HEREBY REQUEST THAT I BE NOTIFIED BY THE SOLICITOR’S OFFICE OF THE FOLLOWING:*
- Any scheduled court proceedings involving the accused and notice of any changes to that schedule.
- If the accused is convicted, notice of the sentence and Violation of Probation, if applicable.
- If the accused is convicted, any appeal or motion for a new trial filed by the accused, any appellate court proceedings relating to an appeal or motion for new trial, and date/time with any changes to the time or place of such a proceeding.
- No notification requested.
Name of Victim:*
First Last
Street Address Address Line 2 City State ZIP Code
Phone Number:*
Alternate Number:
Email:*
Comments:
If you have any questions about your rights, please contact (770) 254-2646 and ask to speak to a victim advocate. It is imperative that your contact information is kept up to date with our office.