Victim Impact Form

PURSUANT TO NH LAW, RSA Section 21-M:8-k - Rights of Crime Victims

Victim Impact Statements may be considered by the court in deciding a sentence. Please complete all parts of this form which apply and add additional pages, as necessary.

Although it is the responsibility of the court to impose the final sentence, your opinions are important. What would you like to see happen with this case? (jail/probation/fines/treatment – chemical, anger, domestic, or mental health/ restitution/etc.)