Victim Impact Statement Form

Under C.R.S.24-4.1-302.5 (g), a victim has the right to make a written and oral impact statement about the harm that the victim has sustained as a result of the crime.  Victims may choose to submit both a written Victim Impact Statement and speak at the sentencing, only speak or only submit a Victim Impact Statement or do neither. The choice is up to a victim.  The Victim Impact Statement can be a powerful tool in the recovery process for a victim from the trauma of a crime.

The Victim Impact Statement allows a victim or a victim’s family member, to tell the judge how his/her life has been altered as a result of the crime, and includes information about physical, mental, emotional, psychological and financial loss.   The Victim Impact Statement provides a victim the opportunity to let the judge know what he/she would like the defendant’s sentence to be or what conditions to consider including when deciding the defendant’s sentence.

Advocates in the Victim Witness Services Unit are available to help a victim prepare his/her written Victim Impact Statement. If a victim, or victim’s family member, chooses to speak at the sentencing hearing, an advocate is available to provide emotional support and assistance as well.  If you would like to obtain a Victim Impact Statement form, or wish further information regarding a victim’s right to be informed of, present and heard at sentencing, please contact the advocate assigned to your case.

A Victim Impact Statement form accompanies the first letter sent from the District Attorney’s Office to a victim after charges have been filed for prosecution.  The District Attorney’s Office will make every effort to insure that a completed Victim Impact Statement is available to the judge prior to the date of sentencing.

The form below was designed to help crime victims provide relevant information, including sentencing recommendations. Please complete all parts of the form which apply to you. If you are requesting restitution for losses sustained as a result of this crime, attach copies of all bills, receipts, invoices and estimates with your completed form.

A COPY OF THIS STATEMENT WILL BE PROVIDED TO THE DEPUTY DISTRICT ATTORNEY, THE COURT, AND THE DEFENDANT OR DEFENSE COUNSEL.

RETURN YOUR COMPLETED FORM TO THE OFFICE HANDLING YOUR CASE:

• Adams County District Attorney’s Office
1100 Judicial Center Drive, Brighton, CO  80601

• Broomfield  County District Attorney’s Office
Seven Des Combes Drive, Broomfield, CO  80020

Victim Impact Statement

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