Ohio Victim Rights Request Form

Who will have this information?

Only your name is provided to the defendant or their attorney.
Additional information such as your address and phone number are redacted unless specifically ordered to be unredacted by the court. [R.C. 2930.07]
Personal identifying information is NOT a public record. [R.C. 149.43]

In order to process your request, we need to be able to locate the case that you are referencing. Please carefully input the case and report information below.

Defendant Name *

Case No. *

Police Agency *

Police Officer (optional)

Police Report No. *

Date of Report *

Completing this information on our website dramatically speeds up the process of connecting with you to ensure that you have a voice. However, if you'd prefer, we are happy to send you the below materials via letter mail. Please indicate how you wish to proceed below.I would like to complete this form here on the website.I would prefer CCPO sends this material to me via letter mail to the below address. I understand that this could take some time and that there will likely be a delay in ensuring that I am connected to this case and notified according to my wishes.

Contact Information

Last Name *

First Name *

Email Address *

Area Code *0 / 3

Phone Number *0 / 8

Would you like to receive timely updates to your mobile device via text message? *Yes, I'd like to receive SMS updates at the above phone number.No thanks, I'd prefer to receive a phone call.

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Alternate ContactOptional

Last NameAlternate Contact

First NameAlternate Contact

Relationship to you:

Email AddressAlternate Contact

Area CodeAlternate Contact0 / 3

Phone NumberAlternate Contact0 / 8

I acknowledge that I am a victim because I am: *A person against whom a criminal offense or delinquent act was committed; orA person directly or proximately harmed by the commission of a criminal offense or delinquent act.

You may designate a victim’s representative to exercise your rights for you or with you. You may choose, change, or remove your representative at any time. You must complete a new Victim’s Rights Request Form or make a request in writing and return it to the appropriate official depending on the stage of your case.I do not wish to designate a victim’s representative at this time.I would like to designate an individual as my representative.

Victim's RepresentativeContact Information

Last Name *

First Name *

Email Address *

Area Code0 / 3

Phone Number0 / 8

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Acknowledgement of Victim's Rights

Election of Victim's RightsThese are the rights that you must request in order to exercise. You may choose some, none, or all of them.

I want to exercise the following rights:Receive notice of the arrest, escape, or release of the offender;Reasonable and timely notice of all public court proceedings;Confer with the prosecutor assigned to the case;Be notified of subpoenas, motions, or other requests to access any of my personal information; andAppoint a Victim’s Representative (if you check this, please fill out the information below).You may change these rights at any time by completing a new Victim’s Right Request Form and returning it to the appropriate criminal justice official.

Victim's RepresentativeContact Information

Last Name *Victim's Representative

First Name *Victim's Representative

Email Address *Victim's Representative

Area CodeVictim's Representative0 / 3

Phone NumberVictim's Representative0 / 8

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Do you need an interpreter? *I do NOT need an interpreterI would like to request a foreign language interpreterI would like to request an American Sign Language (ASL) interpreter

I would like to request a foreign language interpreter for the following language:

Website

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