Impact Statement: Parent VICTIM IMPACT STATEMENT FOR PARENTS OF CHILD VICTIMSDate Sent MM slash DD slash YYYY Victim's Parent's NameChild's NameCommonwealth VS.CR #Prosecuting AttorneyAs the victim of a crime you have the right to offer a statement to the judge prior to the sentencing of the defendant. This form is provided to you for this purpose. Please address the impact that this crime has had on you and your family, but do not describe details of the crime itself. By law, a copy of this form must be given to defense counsel, if requested, prior to trial and it is thereby possible that the defendant will see it. If you have additional questions or need assistance, please call the Victim/Witness Department at (717) 771-9600. The completion of this statement is voluntary. 1. Was your child injured or hurt as a result of this crime? Write about the type of injuries, medical treatment received, how long the injuries lasted, and, where applicable, how long the injuries are expected to continue.2. How has your child been emotionally affected by this crime? Has your child regressed developmentally as a result of this crime? If applicable, how has your child’s school performance changed? How has your child’s relationship with family members and friends changed? Has your child received counseling? If so how has it helped?3. How has this crime affected you? Has it affected your relationships with family members? Has it affected your ability to work? What if any changes have you made to your daily routines as a result of this crime?Date MM slash DD slash YYYY
