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How to use or fill out SJ-753B (2015-07) - Dclaration de la victime Victim Impact Statement

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Click ‘Get Form’ to open it in the editor.
Begin by filling in the 'Identification du dossier' section. Include details about the accused and the victim, ensuring accuracy for proper identification.
In the 'RÉPERCUSSIONS D’ORDRE ÉMOTIF' section, describe how the offence has affected you emotionally. Reflect on your lifestyle, relationships, and emotional responses.
Proceed to 'RÉPERCUSSIONS D’ORDRE PHYSIQUE'. Detail any physical impacts such as pain, discomfort, or medical treatments related to the offence.
Next, address 'RÉPERCUSSIONS D’ORDRE ÉCONOMIQUE'. Outline any financial losses incurred due to the incident, including property damage and medical expenses.
In 'CRAINTES CONCERNANT LA SÉCURITÉ', express any fears for your safety or that of your loved ones regarding contact with the offender.
Utilize the space provided for a drawing, poem, or letter if it helps convey your feelings about the impact of the offence.
Finally, sign and date the form at the bottom. If completed on behalf of someone else, provide reasons and your relationship to them.

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Versions	Form popularity	Fillable & printable
2023	4.2 Satisfied (54 Votes)
2020	4.3 Satisfied (38 Votes)
2015	4.3 Satisfied (28 Votes)

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