Victim/Witness Notification Program Enrollment Request Form

Mailing Address
Your Role in this Case
Offender Information
Name of Person Who Committed the Offense
Type of Offender


Carefully read the following statement:

I declare that the information I am providing on this enrollment form is true, correct, and complete to the best of my knowledge. I understand that it is my responsibility to update my records with the Victim/Witness Notification office if I change phone numbers and/or addresses.

Note: If you reject this declaration, you will not be enrolled the Victim/Witness Notification Program. Please contact us at if you have any questions.