1. Criminal Division
  2. Victim Services
  3. Victims’ Rights Funding
  4. Victims’ Rights Request/Waiver Form – Annual Supply Order

Victims’ Rights Request/Waiver Form – Annual Supply Order

*ATTENTION: As of 2025, the AGO will no longer be supplying agencies with printed versions of the Victims’ Rights Request/Waiver Form (R/W) form booklets and will be providing the updated versions of the R/W form to agencies in electronic format. If an agency requires or prefers a printed version of the form booklets, they may print and pay for the R/W form booklets independently. For further information, please visit: https://www.azag.gov/criminal/law-enforcement/rw-waiver 

Please complete the order form below. Even if your agency is using a custom version of the R/W form, please complete this order form. As a reminder, if your agency uses a custom form, it must be approved by the Attorney General’s Office per A.R.S. §§ 13-4405(E)(5) and 8-386(E)(5).

Along with the order form submission, your review of the form and the resources listed is critical to the accuracy of this information. We invite your comments on the form, including corrections, updates and additions to the phone numbers listed on the Information and Resources page. We cannot have accurate information for victims without your help. We will review and consider all comments and suggestions received. Please review the current version of the form applicable to your region of the State (linked on the online order form) and submit your comments with the submission of the order form.

Please complete and submit this order form no later than Friday, April 25, 2025. 

The R/W Form is available on AZ TraCS! The use of AZ TraCS or the electronic PDF fillable version of the R/W form can save your officers time in the field, provide accurate and legible information to victims, external criminal justice partners, and community members, saves electronically in RMS, and is low cost to maintain. If you are interested in implementing AZ TraCS in your agency, please contact Tim Jordan at [email protected].

If you have questions about the R/W form or the ordering process, please contact Kendall Maier at (602) 542-8451 or [email protected]. Thank you for your commitment in supporting victims of crime.

Order Identification

Agency Procedures

Our agency will use the AG's Offices' Victims' Rights Request/Waiver Form.
*A law enforcement agency that chooses to establish its own procedures, pursuant to A.R.S. §§13-4405(E)(5) and 8-386(E)(5), must do the following: (1) Develop procedures that conform to statutory intent; and (2) report its proposed procedures to the Attorney General’s Office for approval.

*A law enforcement agency that chooses to establish its own procedures, pursuant to A.R.S. §§ 13-4405(E)(5) and 8-386(E)(5), must do the following: (1): Develop procedures that conform to statutory intent; and (2) report its proposed procedures to the Attorney General’s Office for approval.

Have there been any statutory changes to your custom form since the approval date?
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*If you answered yes above, please email [email protected] for approval.

 

If no, please answer questions below.

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If you answered No to the above question, please skip down to the Revisions section.

 

Form Order

Form Version
Region

Contact and Delivery Address

Revisions

The current region-specific R/W Form Resource Sheets are linked above for your reference.

Revisions required?
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