"Victim Notification Request for Appeals" - Oklahoma

Victim Notification Request for Appeals is a legal document that was released by the Oklahoma Attorney General - a government authority operating within Oklahoma.

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Oklahoma Attorney General’s
Victim Services Unit
Victim Notification Request for Appeals
Please Print or Type All Information
Date: ____________________________________________________________________________
Your Name: _______________________________________________________________________
Relationship to Victim: _______________________________________________________________
Address:__________________________ _______________________________________________
Street/P.O. Box
City
State
Zip
Telephone: ____________________ _______________________
________________________
Home
Cell
Work
Email: ___________________________________________________________________________
Victim’s Name: _____________________________________ Victim’s Date of Birth: ____________
Victim’s Date of Death: _________________ County Where Crime Occurred: ___________________
Inmate Information: Please provide all known inmate information, if possible.
If you wish to register for
notification on more than one inmate, please complete a notification form for each inmate.
Offender’s Name: _____________________________________________ Date of Birth:_________________
Crime(s):________________________________________________________________________________
County:______________ If any, your relationship to the ___________________________________________
If you are the victim, survivor, or representative for the victim, please provide a short version of the
crime. If you are not the victim/survivor, please explain why you wish to be notified. (Attach additional
pages if needed)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Please Return form to: Oklahoma Attorney General
(Mail, Fax, or Email)
Victim Services Unit
st
313 N.E. 21
Street
Oklahoma City, Ok. 73105
Fax: 405-522-4535
jordan.sullivan@oag.ok.gov
Email:
Karen.cunningham@oag.ok.gov
or
Oklahoma Attorney General’s
Victim Services Unit
Victim Notification Request for Appeals
Please Print or Type All Information
Date: ____________________________________________________________________________
Your Name: _______________________________________________________________________
Relationship to Victim: _______________________________________________________________
Address:__________________________ _______________________________________________
Street/P.O. Box
City
State
Zip
Telephone: ____________________ _______________________
________________________
Home
Cell
Work
Email: ___________________________________________________________________________
Victim’s Name: _____________________________________ Victim’s Date of Birth: ____________
Victim’s Date of Death: _________________ County Where Crime Occurred: ___________________
Inmate Information: Please provide all known inmate information, if possible.
If you wish to register for
notification on more than one inmate, please complete a notification form for each inmate.
Offender’s Name: _____________________________________________ Date of Birth:_________________
Crime(s):________________________________________________________________________________
County:______________ If any, your relationship to the ___________________________________________
If you are the victim, survivor, or representative for the victim, please provide a short version of the
crime. If you are not the victim/survivor, please explain why you wish to be notified. (Attach additional
pages if needed)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Please Return form to: Oklahoma Attorney General
(Mail, Fax, or Email)
Victim Services Unit
st
313 N.E. 21
Street
Oklahoma City, Ok. 73105
Fax: 405-522-4535
jordan.sullivan@oag.ok.gov
Email:
Karen.cunningham@oag.ok.gov
or