Skip to main content

Victim Notification Registration Form

Provide as much information as you can. An inmate’s full name and case number or date of birth is usually adequate to identify the individual. Inmate locator information is also available on the Internet at idoc.illinois.gov. For questions about this form, contact the Prisoner Review Board Victim Notification Unit at (217) 782-7273 or toll-free at 1-800-801-9110. 

Pursuant to the Illinois Bill of Rights for Victims and Witnesses, please check the boxes for the services that you request be provided to you. While filing this survey with the Prisoner Review Board, please keep in mind that your responses and requests will be kept confidential.

You may request special conditions be placed on an offender while the offender is on parole. Attach a letter describing the conditions you would like imposed along with the reason for your request. (For example: I don’t wish the offender to have contact with me while he is on parole because I testified against him/her, s/he threatened me, I was the victim and am scared, etc.) Also, please include a copy of any Order of Protections or any relevant report

PLEASE NOTIFY THE PRB OF CHANGES IN ADDRESS OR TELEPHONE NUMBER

OFFENDER INFORMATION:

Attach any additional documents below.