Victim Notification Request
As a victim of a crime committed by the inmate listed below, I am requesting notification
pursuant to the Code of Alabama, 15-23-75 and 15-23-78, which states I shall be notified, if requested,
if the below referenced inmate were to reach the end of his/her sentence, escape, or upon his/her death.
If you like, you can click the following link, Victim Notification Request Form, to save a PDF version of the form to
your computer for printing and filling out by hand. You must have Adobe Acrobat Reader to view it.
The * fields below are required fields.
Are you the
*Name of Person Completing Form
*Relationship to Victim. If victim please type 'Self'
*P.O. Box or Street Address
Inmate Date of Birth
AIS Number (If Known)
You must complete a new form for each inmate that you wish to receive notice. You must also complete a new form
for each individual victim. You cannot combine inmates or victims on one form.
It is the responsibility of the victim or victim's representative to provide the Alabama Department of
Corrections with a current mailing address and phone number, and to keep the department informed of any changes in the mailing
address / telephone number.
The Alabama Department of Corrections is a separate department from the Alabama Board of Pardons and Paroles.
Information shared with the Alabama Department of corrections, or vice versa, is not necessarily shared between these two departments at
this time. If you have not registered with the Board of Pardons and Paroles for parole notifications and would like to do so, please
visit their web site at www.pardons.state.al.us for more information.
Type the characters above