Submit Your Victim Impact and Reentry Statements

How to Submit

If you choose to submit a victim impact statement, please submit your written statement digitally using the form below, or complete this printable form and submit by U.S. Mail to Committee on Parole, Post Office Box 94304, Baton Rouge, LA 70804 or by e-mail to You may also contact the Crime Victims Services Bureau at 877-342-6110 for guidance in submitting a re-entry statement.

So that we can ensure that your statement is included in the imprisoned person’s record, please include the imprisoned person’s name, DPS&C #, and the date of the hearing. It is also important that you include your contact information. It is essential that the statement is received at least 14 days in advance of the scheduled parole hearing.


Digital Form: Guide for Victim Impact and Reentry Statements

Step 1 of 3

  • MM slash DD slash YYYY
  • Victim Information: