Department of Corrections and Community Supervision
Office of Victim Assistance
Office of Victim Assistance - Request for Victim Notification Form

Office of Victim Assistance - Request for Victim Notification Form

Request for Victim Notification

Complete this form if you would like to receive notifications from the New York State Department of Corrections and Community Supervision Office of Victim Assistance (DOCCS OVA) on an incarcerated individual currently housed in a state prison facility. Notifications include release from custody, change in release status, upcoming parole interview dates and victim impact statement options.

Fields marked with an asterisk (*) are required.

 

NOTE: "Person Requesting Information" refers to an adult party who is capable of receiving conmmunication. DO NOT complete this form with the name of a deceased person, minor or otherwise compromised person.

 
 
 
 
 
 

Incarcerated Individual Information:

Please work with your district attorney's office to provide as much information as possible. NOTE: You must submit a separate registration form for each incarcerated individual for which you are requesting notifications.

 
 
 
 

For Release Notifications ONLY, please choose your preferred delivery method:

*Electronic notification is handled through the third-party VINE service. If you choose electronic notification, you MUST register at vinelink.com as well.

I understand that any information I give to the NYS DOCCS and the NYS Board of Parole will be kept strictly confidential. I understand that it is my responsibility to notify DOCCS of any changes in the contact information I provided above, OR any changes in my request for information, by completing a new "Request for Victim Notification" registration form.