Victim Assistance & Support Inquiry

Victim Services is committed to serving all persons regardless of race, ethnicity, gender and sexual identity, religion, age or abilities. All inquiries and services provided are confidential.

All inquiries are reviewed to determine what services we can provide. Services may be limited or unavailable based on existing conflicts, office policies, or advocate availability. If such issues arise, we will assist you with identifying other resources available.

To assist us in meeting your specific needs, please complete the following information. Once your information is reviewed by our offices, we will be in contact with you about how we can help you.

How can we help you today?

How did you hear about Victim Services?

Are you the victim of any current criminal cases pending with law enforcement or County Attorney's Office (Dodge or Olmsted)?

First Name

Last Name

Date of Birth

Race or Ethnicity

Gender Identity

Phone Number

Email Address

Address

City

State

Zip Code

What methods are best to contact you?

Check all that apply.

Phone Email Mailing Address

Is it alright to leave you messages?

Yes

Which County do you live in?

Which County did the crime occur in?