Victim Notification Request Form
This form should be completed after the offender has been sentenced and remanded to the custody of the Georgia Department of Corrections. Your Victim Notification Request Form will become a permanent and confidential part of the offender’s file.

For more information, please contact the Georgia Office of Victim Services:
At 1-800-593-9474, 404-651-6668, victimservices@pap.ga.gov or visit our website at http://www.pap.ga.gov.

Once registered, you will receive information and notifications regarding the offender's status with the Department of Corrections, clemency decisions made by the State Board of Pardons and Paroles, and can make inquiries regarding the offender under the authority of the Department of Community Supervision.

If you are currently registered, it is your responsibility to notify the Georgia Office of Victim Services of changes to your postal mail, email, and telephone numbers. Please submit a change of address form (click here---> https://forms.gle/D2FFn8X3RM783qwQ7) to update your contact information.

* In the event of multiple inquiries within the same family, the Director of the Georgia Office of Victim Services has the discretion to appoint one family member to serve as the point of contact.
OFFENDER INFORMATION
Offender Name *
Your answer
Offender Date of Birth
MM
/
DD
/
YYYY
Offender Gender *
Offense
Your answer
Conviction Date
MM
/
DD
/
YYYY
County of Conviction
Indictment Number
(if known)
Your answer
Offender GDC ID or Case Number
(if known)
Your answer
VICTIM INFORMATION
Victim Name *
Your answer
Person Requesting Notification
(If different from victim)
Your answer
Person Requesting Notification relationship to the victim *
Reason victim did not complete form, if different from victim
(i.e deceased, minor, etc)
Your answer
Person completing form relationship to victim *
Next
Never submit passwords through Google Forms.
This form was created inside of Georgia Board of Pardons and Paroles. Report Abuse