Victim Change of Address Form

2. If you are currently listed as a victim in a criminal case and your address has changed, please complete the following form.  Your updated contact information will remain confidential.

   For more information, please contact the Livingston County Probation Department.

   
   

   6 Court St, Room 101

   Geneseo, New York 14454

   Phone: (585) 243-7190

   Fax: (585) 243-7169

   Email: probation@co.livingston.ny.us

4. OFFENDER INFORMATION

   Complete the following information regarding the offender/case to the best of your knowledge.  If you do not have the information requested, please write 'UNKNOWN'

6. Offender Name
7. Offender Date of Birth
8. Case Number
12. VICTIM INFORMATION ON FILE

    Provide your prior contact information below:

14. First Name
15. Last Name
17. Street Number
18. Street Name
19. Apt #
21. City
22. State
23. Zip
25. Telephone Number
26. E-Mail Address
30. UPDATED INFORMATION

    Provide any changes to you contact information below:

32. First Name
33. Last Name
35. Street Number
36. Street Name
37. Apt #
39. City
40. State
41. Zip
43. Telephone Number
44. E-Mail Address
46. Provide any additional information you wish to share below:
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field