Washington State Department of Corrections
Victim Services Program Enrollment Request
* Indicates Response Required
Type of Notification
*
Registered E-mail
US Mail
Email Address
*
Section A: Offender Information
Section A: Offender Information
First Name
*
Middle Initial
Last Name
*
DOC Number
Estimated Age of Offender
Offense
*
County Of Conviction
*
Adams County
Asotin County
Benton County
Chelan County
Clallam County
Clark County
Columbia County
Cowlitz County
Douglas County
Ferry County
Franklin County
Garfield County
Grant County
Grays Harbor County
Island County
Jefferson County
King County
Kitsap County
Kittitas County
Klickitat County
Lewis County
Lincoln County
Mason County
Okanogan County
Pacific County
Pend Oreille County
Pierce County
San Juan County
Skagit County
Skamania County
Snohomish County
Spokane County
Stevens County
Thurston County
Wahkiakum County
Walla Walla County
Whatcom County
Whitman County
Yakima County
County Cause Number
Section B: Program Enrollee Information
Section B: Program Enrollee Information
Title
*
Mr.
Mrs.
Ms.
Miss
Please select one.
First Name
*
Middle Initial
Last Name
*
Date of Birth
*
MM
/
DD
/
YYYY
Mailing Address
*
City
*
State/Province/Region
*
Postal/Zip Code
*
Is this a new address?
*
Yes
No
Telephone Number
*
###
-
###
-
####
Alternate Telephone Number
###
-
###
-
####
Email
Please select the option that best describes your connection to the crime (Check one)
*
Victim
Witness
Next of Kin to Victim
Parent of Minor
Guardian of Minor
Other
An Accountability Letter provides offenders an opportunity to communicate to the victims or survivors in their cases their understanding of the harm caused by their crime(s), acknowledge the fault, injury, responsibility, insult, and pain caused, and describe the steps they have taken toward accountability for their criminal behavior. You have an option to register to be notified if a letter from the offender in your case has been accepted in the "Accountability Letter Bank (ALB)."
The Department of Corrections Victim Services Program will review and screen all letter submitted by offenders before they are deposited into the ALB. If you register your request, you will be notified when a letter intended for you is available. You then have the option of receiving the letter or not. You can withdraw your request to be notified at any time.
The requester must be at least 18 years of age at the time the ALB notification request is made.
Note: A letter deposited into the ALB will be stored indefinitely until received by you, or the offender requests the letter be withdrawn. You may determine if and when the letter will be accepted and decide whether the offender will be notified that the letter was received.
Accountability Letter Registration
I request to be notified if a letter written to me by this offender is deposited in the Accountability Letter Bank.
Comments
By selecting 'I Agree", I hereby affirm that I am the person listed in the "Program Enrollee Information" section and that all the information entered here is true and accurate to the best of my knowledge.
*
I agree
Do Not Fill This Out