• VICTIM RIGHTS NOTIFICATION FORM

  • Filling out this form is voluntary. You do not have to complete every section. If you choose to fill out the form, Please submit it to our office at your earliest convenience.

    If you have questions or concerns, please contact:

    Marla Cox

    Victim Services Coodinator

    435-781-5436

  • STEP ONE:

  • STEP TWO:

  • Provide a mailing address for the person designated above to receive notification.

  • STEP THREE:

  • Provide other contact information.

  • STEP FOUR:

  • STEP FIVE:

  • STEP SIX

  • Sign and Return the form.

  •  /  /
    Pick a Date
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  • Should be Empty:
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