This Victim Impact Statement is used by the Prosecutor for evaluating the effect the crime has had on you and your family. Without the information included in this form, you may not receive reimbursement and assistance that, by law, is yours. The Prosecutor and possibly the defendant and his/her attorney will receive a copy of this statement. If you need help completing this form, please call (928) 373-5060.

Print and fill out the Victim Impact Statement

*THE VICTIM IMPACT STATEMENT IS NOT CONFIDENTIAL.  THE PROSECUTOR AND POSSIBLY THE DEFENDANT AND HIS/HER ATTORNEY WILL RECEIVE A COPY OF THIS STATEMENT.