Victim Registration - Louisiana Department of Public Safety & Corrections

Contact Information
First Name*
Last Name*
Telephone Number*
E-Mail Address*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Choose the option that best describes you*
- Direct victim of offense
- Witness to offense
- Parent/Guardian
Name of Direct Victim

Other Information
Are you or any of your family members employed by the Department of Public Safety and Corrections at a state prison?*
- Yes
- No
If yes, please indicate which facility.*
Offenders are generally prohibited from writing their victims. However, in the future, if the offender who harmed you wrote a letter accepting responsibility for the crime and the harm it caused, would you want to know that such a letter existed?*
- Yes
- No
Name
This field is for validation purposes and should be left unchanged.

Register As a Victim