State Seal

Terry Goddard
Arizona Attorney General

Victims’ Rights Complaint - Online

Please complete the Victims' Rights Complaint form as completely as possible.
Note: If you have a consumer complaint, please click here.

Press tab to go from field to field.
  YOUR INFORMATION   GOVERNMENT OR LEGAL AGENCY(S) YOU ARE
COMPLAINING AGAINST
First Name: Agency:
Last Name: Staff Involved
Address: Phone:
(if known)
City: Agency:
State: Staff Involved
Zip: Phone:
(if known)
Home Phone: Agency:
Cell Phone: Staff Involved
Work Phone: Phone:
(if known)
e-mail address:    

Complaint Information

County:
City:

Have you addressed this matter with the agency or staff involved?
Yes No

Is there an ongoing criminal case or investigation?
Yes No

If so, what are the case numbers, if known?

Police Report Number(s):

Court Report Number(s):

What is the defendant’s name?

What is the date of the crime(s)?

How would you like the Office of Victim Services to help you?

How did you learn about the Office of Victim Services?

Please list specific victims’ rights you feel were violated.(Title 13, Chapter 40- Crime Victims’ Rights, Title 8, Chapter 3, Article 7 - Victims' Rights for Juvenile Offenders)

Summary or additional information regarding complaint:

Supporting Documentation Available
Yes No

Statistical Information

How did you hear about our complaint form:

Called Phoenix AG Office
Called Tucson AG Office
Went onto AG Website
Visited an AG Satellite Office
An Out of State Agency
Media: Newspaper/Radio/TV
Another Arizona State Agency/State Legislator
Attended AG Presentation/Event
Other


Please note: filing a complaint does not guarantee a full investigation. Please allow up to two weeks to receive a response.

To send in additional information to:

Office of Victim Services
1275 West Washington
Phoenix, AZ 85007
602.542.8453 fax

Thank you for taking the time to complete this form.

Please print the following page for your records.