Victim Contact Information
Virginia · Supreme Court of Virginia
This form is used to collect and record the contact information for one or more victims involved in a case. It asks for names, addresses, phone numbers, and email addresses for the victims.
Where this fits in a case
General & infoInformation / general use — not tied to one step of a case
This form is used in the General District Court Criminal Forms process to provide the court with the current contact details for the victim(s).
Either party may file.
Common questions
- What information does this form collect?
- It collects contact details for victims, including their names, addresses, city, state, zip, phone numbers, and email addresses.
- Who fills out this form?
- The form includes spaces for signatures from an attorney for the Commonwealth or a designee.
Revision history
No changes recorded since we started tracking this form on October 10, 2026.
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