Mississippi  Department of  Corrections

Christopher B. Epps  

Phil Bryant

Commissioner   

 Governor  

 

 

 

Victims Notification Form

 

Mississippi Department of Corrections Victims Notification

 

 

(PLEASE DO NOT COMPLETE THIS NOTIFICATION REQUEST FORM UNLESS YOU ARE A VICTIM OF CRIME, A SURVIVOR OF A HOMICIDE  VICTIM, OR A WITNESS TO A CRIME)

As a victim of crime, you have the right to be notified within fifteen (15) days prior to the end of the sentence of the prisoner, notice of release upon expiration of sentence or notice of medical release, and notice within fifteen (15) days after the prisoner has died (if within the custody of the Mississippi Department of Corrections). You also have the right to be notified of any escape and subsequent recapture of the offender.  Other Victim Rights afforded under the authority of Mississippi Department of Corrections include:

 

  •  Right to submit an audio or video recording to be placed in offenders file for consideration of community status or prior to release

 

  • Right to be notified and allowed to submit a written or recorded statement when parole or pardon is considered

 

  • Right to be notified if the offender is released on an appeal bond

  Crime Victims Notification Form

 
  1. Name of Offender
  2. Offender MDOC Number (if known)
  3. County/Counties of Conviction

      

  4. Crime(s)     
  5.         
     

  6. Enter the date crime was committed

      -- mm/dd/yy

     

  7. Enter the date of Sentencing.

     

    -- mm/dd/yy

     

    Information on person requesting registration:

    *Please enter YOUR information (person requesting registration)

     

Name  
Race  
Sex/Gender  
Date of Birth  
Street Address
Address (cont.)
City  
State/Province  
Zip/Postal Code  
Country

Phone Numbers

Work Phone

Home Phone

  Cell Phone

  Email Address

 

  Relationship to Victim

Information on person directly affected by the crime if different than above:

Name  
Race  
Sex/Gender  
Date of Birth  

Please feel free to complete a Victim Impact Statement

To be notified by the Mississippi Department of Corrections of these changes in the offenders status, you must complete this form and return it to:

Mississippi Department of Corrections

Division of Victim Services

723 North President Street

Jackson, MS 39202

1-866-522-4087 (toll free)

601-359-5628

Fax: 601-359-5719

Please be advised that if the offender is in custody in a local jail,

you must contact the jail directly for notification.

 

Message to Crime Victims:

For timely offender notification, be sure to contact the Division of Victim Services of 

any changes in your address or telephone number.

MDOC Webmaster.
Copyright 1999 Mississippi Department of Corrections. All rights reserved.
Revised: January 06, 2014

I am proud to inform you of a newly provided service by the MS SAVIN program (Mississippi Statewide Automated Victim Information and Notification) / VINE (Victim Information Notification Everyday).  Mississippi CHOICE is a web-based victim notification, registration and information site for crime victims, witnesses, or those affected by a violent / sex crime resulting in an offender being sentenced to the Mississippi Department of Corrections.  CHOICE is an enhancement of MS SAVIN / VINE.  It will allow you to receive additional services offered through the MDOC Division of Victim Services such as allow you to customize your notifications, upload victim impact statements and view offender data for the offender you are registered against any time.  If you currently have a SAVIN / VINE account you will need to activate your account through CHOICE to take advantage of the enhanced benefits. If you prefer not to activate your account or to opt out, you will still be able to access your SAVIN / VINE account.  Please contact Gwendolynn at (601) 359-5759 or Nakia at (601) 359-3752 to set up an account with CHOICE and then visit www.mssavin.com to access your account.  I highly recommend that you take advantage of this newly provided service.