OHIO VICTIMS’ RIGHTS REQUEST FORM
Type a question
Type option 1
Reporting Agency
County:
Phone
Court Discretion
Ohio Victim's Rights Request form provided to me by
Law Enforcement Officer
Date
/
Month
/
Day
Year
Date
Officer Email
*
example@example.com
Victim of violation of protection order, offense of violence, or sexually oriented offense was presented the form, but the victim was unable to complete the form. Victim is opted in to all rights until the victim completes the form or is contacted by the prosecutor and provided the opportunity to complete the form. The public records division and custodial agency was provided the victim's and/or victim representative's information for redaction and notification.
Victim can not complete form
Report No. :
*
Officer:
*
Unit
*
Defendants Name:
*
Charges:
*
I WANT my name, address, and identifying information to be redacted (removed) from records
*
Yes
No
Law Enforcement
Prosecutor
Court
I WANT notice of the arrest, escape, or release of the offender.
*
Yes
No
I WANT reasonable and timely notice of all public proceedings.
*
Yes
No
I WANT to be notified of subpoenas, motions, or other request to access any of my personal information.
*
Yes
No
I WANT to appoint a Victim's Representative.
*
Yes
No
I WANT to confer with the prosecutor at certain points in the case, including before pretrial diversion is granted, before the prosecutor amends or dismisses an indictment, information, or complaint, before the prosecutor agrees to a negotiated plea, and before a trial or adjudicatory hearing.
*
Yes
No
I WANT interpretation services during contacts with criminal justice system officials.
*
Yes
No
Foreign Language interpreter
Yes
Language
American Sign Language Interpreter
Yes
Victim Name:
*
How do you want to be contacted?
*
Mail
Phone
Email
Times best to contact you
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Victim Email
*
example@example.com
Victim Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Victim Representative Name
Representative Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Representative Email
example@example.com
Representative Phone
Please enter a valid phone number.
Format: (000) 000-0000.
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