Public Information

Victim/Witness Notification Request Form

1 Start 2 Complete

Inmate Name *

Required

Offense

If known

Sentence

If known

County

Where crime was committed

Case/Docket Number

If known

Person Requesting Notification *

Name

Address *

City *

State *

Zip Code *

Telephone Number *

Home

Alternate Telephone Number

Work/Other

Email Address

Contact Method *

U.S. Mail

Phone

Email

Other...

Contact Method Other...

I Am *

The victim of this inmate

A family member of the victim

A concerned citizen

This Request Is *

An initial request for notification

An updated request for notification