SJ-753B (2015-07) - D claration de la victime / Victim Impact Statement. D claration de la victime (article 722(4) C.cr.) - Formule 34.2 (article 672.5(14) C.cr.) - Formule 48.2 / Victim Impact Statement (Section 722(4) Cr.C.) - Form 34.2-2026

1. Click ‘Get Form’ to open the SJ-753B in the editor.
2. Begin by filling in the 'Identification du dossier' section. Include details about the accused and the victim, ensuring accuracy.
3. In the 'RÉPERCUSSIONS D’ORDRE ÉMOTIF' section, describe how the offence has affected you emotionally. Reflect on your lifestyle, relationships, and feelings.
4. Proceed to 'RÉPERCUSSIONS D’ORDRE PHYSIQUE'. Detail any physical impacts such as pain, medical treatments, or disabilities resulting from the offence.
5. Next, complete 'RÉPERCUSSIONS D’ORDRE ÉCONOMIQUE', outlining financial losses incurred due to the incident, including property damage and medical expenses.
6. In 'CRAINTES CONCERNANT LA SÉCURITÉ', express any fears for your safety or that of loved ones related to contact with the offender.
7. Utilize the space provided for a drawing, poem, or letter if it helps convey your experience more effectively.
8. 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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