Victim's Rights Notification Form

State of Utah v.

Please enter the defendant's name.

Court Case Number:

Please enter the a valid court case number.

Victim's Name

First Name:

Middle Name:

Last Name:

Business Name:

Step #1 IDENTIFICATION OF PERSON COMPLETING THIS FORM (check only ONE)

I am the victim.

I am not the victim, but I am a lawful representative of the victim.

My name is: and I am the victim's (your relationship to the victim)

Step #2 MAILING ADDRESS (for the person designated above to receive notification.)

Number and Street:

Apartment #:

City:

State:

Zip:

Email Address:

This field is required.

Phone:

This field is required.

Alternate Phone:

Step #3 NOTIFICATION FROM THE UTAH COUNTY ATTORNEY'S OFFICE

Yes, I want to be notified of the following hearings in this case: preliminary hearing;arraignment hearing; hearing where an admission or a plea of guilty will be entered; hearing where trials are rescheduled; hearing where defendant's custody status will be addressed; bench or jury trial; sentencing hearing and hearing to address fines or restitution.

No, I do not want to be notified of the hearings in this case.

Step #4 RESTITUTION INFORMATION

As a victim of a crime, you may have suffered a financial loss. This is called “restitution.” Restitution can be court ordered at the defendant's sentencing hearing. Restitution covers direct out-of-pocket losses or expenses such as the value of lost or stolen property, medical care, mental health counseling, loss of wages, burial expenses, dental care, and other expenses resulting from the crime. Restitution in a criminal case does not include pain and suffering or compensation for emotional distress.

Yes, I have suffered a financial loss as a result of this crime.

My estimated amount of loss is $

No, I am not seeking restitution in this case.

Name:

This field is required.

Email:

This field is required.

Victim Rights Notification Form

Utah County Attorney's Office

100 East Center Street, Suite #2100

Provo, UT 84606

801.851.8026

victim@utahcounty.gov