Filling out this form is voluntary. If you choose to fill out the form, you do not have to complete every section. You can fill in this form or you can write your statement in your own way using whatever method you feel most comfortable with.
Uintah County Attorney’s Office Victim Assistant ProgramAttn: Marla Cox Victim Assistance Coordinator 641 East 300 South, Suite 200 Vernal, Utah 84078 Main: 435.781.5434 Cell: 435.630.1543