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  • Sample Victim Impact Statement Template 1

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    vivian jebiwott
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    This document is a victim impact statement report from the Republic of Kenya's Probation and Aftercare Service. It collects biographical data on the victim, details of the court case, and information on the offense and its impact. This includes any physical, psychological, emotional, or business harms suffered by the victim as well as protection measures sought, restitution desired, and a conclusion from the probation officer compiling the report.

    Original Description:

    TEMPLATE OF VICTIM IMAPCT ASSESMENT

    Original Title

    SAMPLE VICTIM IMPACT STATEMENT TEMPLATE 1

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    This document is a victim impact statement report from the Republic of Kenya's Probation and Aftercare Service. It collects biographical data on the victim, details of the court case, and information on the offense and its impact. This includes any physical, psychological, emotional, or business harms suffered by the victim as well as protection measures sought, restitution desired, and a conclusion from the probation officer compiling the report.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    1 views2 pages

    Sample Victim Impact Statement Template 1

    Uploaded by

    vivian jebiwott
    This document is a victim impact statement report from the Republic of Kenya's Probation and Aftercare Service. It collects biographical data on the victim, details of the court case, and information on the offense and its impact. This includes any physical, psychological, emotional, or business harms suffered by the victim as well as protection measures sought, restitution desired, and a conclusion from the probation officer compiling the report.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    REPUBLIC OF KENYA

    PROBATION AND AFTERCARE SERVICE


    Victim Impact Statement Report
    Serial Number
    Bio Data Case Details
    Name of Victim Court
    Age: Case file Number
    Sex: Police Case Number
    RESIDENCE PARTICULARS
    Village Sub-location
    Location Division
    Sub-County County
    Offence Section
    Offence Particulars
    Date VIS report Accused on bond or
    required in Court: Custody:
    Source of information
    Offence circumstances
    STATUS OF THE VICTIM
    Occupation
    Education
    Marital Status Spouse
    Children and
    dependents
    Family Father
    Background
    Mother Siblings
    (a) Physical injury
    (b) Psychological
    and emotional
    harm
    (c) Sexual Abuse
    (if relevant to
    case)
    (d) Business or
    source of
    livelihood
    (e) Protection
    measures
    sought
    (f) Restitution or
    reconciliation
    SUMMARY AND CONCLUSION

    Page 1 of 2
    Conclusion
    Name of Officer Designation Probation officer
    Date Sign

    Page 2 of 2

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