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Victim Services Division

The Texas Crime Victim Clearinghouse (TxCVC), in accordance with the Texas Code of Criminal Procedure article 56.03, creates the Victim Impact Statement form to be used by law enforcement agencies, prosecutors, and other participants in the criminal justice system to record the impact of an offense on the victim and to provide contact information for the victim if needed at any state of a prosecution of a person charged with the offense.

The TxCVC creates the form with the assistance of the TDCJ Community Justice Assistance division and the Texas Board of Pardons and Paroles. The TxCVC also develops a victims' information booklet providing a general explanation of the criminal justice system to victims of an offense, guardians of victims, and relatives of deceased victims. Recommended processing procedures for counties to consider in processing Victim Impact Statements are also available.

The Victim Impact Statement (VIS) forms and VIS Activity Report

VIS County Observation Study

“It’s Your Voice” - Victim Impact Statement Brochure

  • It's Your Voice (PDF) - A brochure that explains the importance of the Victim Impact Statement and how it is used during court proceedings and the parole review process.

VIS Recommended Procedures

VIS Tracking Form

The purpose of this form is for VACs to ensure that all necessary parties received the VIS and forwarded it to the appropriate office. This form is designed as a template to be used at the county’s discretion, please revise as applicable for your county.

  • VIS Tracking Form
Victim Impact Statement (English)

The VIS form collects victims' notification preferences and information about the emotional/psychological, physical, and financial impact an offense has had on the victim. The district or county attorney's office is required to provide the VIS form to victims.

  • Victim Impact Statement Packet
    • PDF (English)
    • PDF (English) Fillable Version
    • Word (English)
  • Additional Page - Continued space to record the impact a crime has had on a victim or a victim's family. This page may be included with the VIS form.
    • PDF (English)
    • PDF (English) Fillable Version
    • Word (English)

Victim Impact Statement Supplemental Page

A form addressing Court Ordered Child Custody Orders. This page is to be included with the VIS form, when applicable, by Victim Assistance Coordinators or persons responsible for sending the VIS.

  • PDF (English)
  • PDF (English) Fillable Version
  • Word (English)

Hoja de Informaciòn de la Vìctima/Declaración de Impacto de la Victima (Español)

Un documento proporcionado a las victimas por los Coordinadores de Asistencia a la Victima para obtener información del impacto emocional, psicológico, físico y financiero que ha tenido una ofensa en la victima. La Declaración de Impacto de la Víctima estará disponible en el futuro cercano.

  • Declaración de Impacto de la Victima
    • PDF (Español)
    • PDF (Español) Versión rellenable
    • Word (Español)
  • Página adicional - Espacio continuo para registrar el impacto que un crimen ha tenido en una víctima o en la familia de una víctima. Esta página puede incluirse con la VIS.
    • PDF (Español)
    • PDF (Español) Versión rellenable
    • Word (Español)

Suplementario de Custodia de Niños Órdenes Judiciales

Un formulario que se dirige a las órdenes de custodia de niños ordenadas por la corte. Esta página debe ser incluida en la VIS, cuando corresponda, por los Coordinadores de Asistencia a Víctimas o personas responsables de enviar el VIS.

  • PDF (Español)
  • PDF (Español) Versión rellenable
  • Word (Español)

Victim Impact Statement - Just for Kids

Form used by Victim Witness Coordinators to obtain information about victims of crime when the witness is a juvenile.

  • PDF (English)
  • PDF (English) Fillable Version
  • Word (English)

Declaracion de Impacto a la Victima Solo para Niños

Declaración de Impacto de la Víctima será usada en todo el sistema de justicia criminal (por el fiscal, el juez y La Junta de Libertad Condicional de Texas) para entender mejor el impacto emocional/psicológico, físico y financiero del crimen.

  • PDF (Español)
  • PDF (Español) Versión rellenable
  • Word (Español)

Victim Impact Statement - For Victims of Juvenile Offenders

Juvenile Victim Impact Statement will be used throughout the criminal justice system (by the prosecutor, the judge, the Juvenile probation departments, and the Texas Juvenile Justice Department) to better understand the emotional/psychological, physical, and financial impact of the crime.

  • PDF (English)
  • PDF (English) Fillable Version

Declaración de Impacto de la Víctima de Delito Juvenil

Declaración de Impacto de la Víctima será usada en todo el sistema de justicia criminal (por el fiscal, el juez y La Junta de Libertad Condicional de Texas) para entender mejor el impacto emocional/psicológico, físico y financiero del crimen.

  • PDF (Español)
  • PDF (Español) Versión rellenable