"Know Your Rights as a Victim or Witness" - Illinois

Know Your Rights as a Victim or Witness is a legal document that was released by the Illinois Department of Corrections - a government authority operating within Illinois.

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Know Your Rights as a Victim or Witness
Please mail this completed form to:
Prisoner Review Board
Chairman
319 E. Madison St., Suite A
Springfield, IL 62701
Status: Victim
; Witness
; Victim Next of Kin
; Guardian of Victim
; Concerned Citizen
Pursuant to the Illinois Bill of Rights for Victims and Witnesses, please check the boxes for services you
request to be provided to you. Your responses and requests are confidential.
Please notify me of any change in the custody status of the offender listed below (i.e.
release, escape, or death).
Please provide me with the current photograph of the offender listed below upon their
release from custody.
Please consider the additional considerations be placed on the offender listed below.
No contact with the following person (letter of explanation attached)
Other condition (letter of explanation attached)
You may request special conditions be placed on offender while the offender is on parole. Attach a letter describing the
conditions you would like imposed, and your reason for the request. (
: I don’t want the below named
For example
offender to have any contact with me while he is on parole because I testified against him/her, s/he threatened me, I
was the victim and am scared, etc.). The Board will review your request and may grant it if legal and appropriate.
Include a copy of any Order of Protection or police report that is relevant.
Contact Information of Person to be Notified
Name
Street Address
City, State, Zip Code
Home Phone
Work Phone
PLEASE NOTIFY THE PRB OF CHANGES IN ADDRESS OR TELEPHONE NUMBER
Offender Information
Name
Date of Birth
IDOC Number
County of Crime
Current Facility
E-Mail Address
Provide as much information as you can. An inmate’s full name and case number, or date of birth is usually
adequate to identify the individual. Inmate locator information is also available on the Internet
at
www.illinois.gov/idoc.
For questions about this form, contact the Illinois Department of Corrections, Victim Services Unit, 1301
Concordia Court, P.O. Box 19277, Springfield, IL, 62794-9277, or call toll-free 877.776.0755.
Know Your Rights as a Victim or Witness
Please mail this completed form to:
Prisoner Review Board
Chairman
319 E. Madison St., Suite A
Springfield, IL 62701
Status: Victim
; Witness
; Victim Next of Kin
; Guardian of Victim
; Concerned Citizen
Pursuant to the Illinois Bill of Rights for Victims and Witnesses, please check the boxes for services you
request to be provided to you. Your responses and requests are confidential.
Please notify me of any change in the custody status of the offender listed below (i.e.
release, escape, or death).
Please provide me with the current photograph of the offender listed below upon their
release from custody.
Please consider the additional considerations be placed on the offender listed below.
No contact with the following person (letter of explanation attached)
Other condition (letter of explanation attached)
You may request special conditions be placed on offender while the offender is on parole. Attach a letter describing the
conditions you would like imposed, and your reason for the request. (
: I don’t want the below named
For example
offender to have any contact with me while he is on parole because I testified against him/her, s/he threatened me, I
was the victim and am scared, etc.). The Board will review your request and may grant it if legal and appropriate.
Include a copy of any Order of Protection or police report that is relevant.
Contact Information of Person to be Notified
Name
Street Address
City, State, Zip Code
Home Phone
Work Phone
PLEASE NOTIFY THE PRB OF CHANGES IN ADDRESS OR TELEPHONE NUMBER
Offender Information
Name
Date of Birth
IDOC Number
County of Crime
Current Facility
E-Mail Address
Provide as much information as you can. An inmate’s full name and case number, or date of birth is usually
adequate to identify the individual. Inmate locator information is also available on the Internet
at
www.illinois.gov/idoc.
For questions about this form, contact the Illinois Department of Corrections, Victim Services Unit, 1301
Concordia Court, P.O. Box 19277, Springfield, IL, 62794-9277, or call toll-free 877.776.0755.