Victim Impact Statement Form - Macomb County Prosecutor'S Office Crime Victims Rights Unit Page 3

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RIGHTS REQUESTED FORM
Macomb County Prosecutor’s Office
Crime Victims Rights Unit
As indicated in this package, certain rights are available to you ONLY if you request them.
They are:
• To receive notice of any scheduled court proceeding and any changes in that schedule if the
Crime Victims Rights Unit is informed of them.
• To confer with the Assistant Prosecuting Attorney prior to the selection of the jury and trial.
• To receive written notice of the defendant’s conviction.
• To receive notice of the address and telephone number of the probation department which is
to prepare the pre-sentence report.
• To be notified of the time and place of sentencing.
• To be notified of the final disposition of the case.
IF YOU WISH TO EXERCISE ANY OF THESE RIGHTS, PLEASE COMPLETE THIS
FORM AND MAIL IT BACK TO OUR OFFICE.
PLEASE NOTE: Your address and phone number will remain confidential and will not be seen
by the defendant or defendant's attorney.
PLEASE PRINT THE FOLLOWING INFORMATION:
YOUR NAME:
_________________________________________
ADDRESS:
_________________________________________
_________________________________________
PHONE NUMBER: _________________________________________
(HOME)
_________________________________________
(WORK)
Filling out this form is strictly voluntary and for your benefit. This case will be prosecuted
regardless of your response to this form.
Please complete and return to:
Macomb County Prosecutor’s Office
Crime Victims Rights Unit
rd
1 South Main, 3
Floor
Mt. Clemens, MI 48043

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