Victims Of Crime Pardons|

נפגעי עבירה
פרטי הבקשה
Section
Toolbar
- Submit

OnlineFormVersion

FumsAppID

Online Form for Filing a Victim of a Crime Position Under Sections 2 and 20 of the Rights of Victims of Crime Law, 5761-2001

Note: to save a printed copy, you must print the application before the Finish and Send steps

Application's Details

The information regarding the filing of the position as well as the details of the victim of the crime will not be passed on to the party requesting the pardon or the defense attorney.

Party filing the position

Victim of the crime

His representative

Details of the crime victim's representative

First name

Last name

License number

Passport number

Town / Locality

Street

Number

Postal Code

CityCode_Representative

Telephone

Electronic Mail

Connection with the crime (connection with the crime – whether the party filing the position is the victim of the crime or a family member)

Please attach power of attorney Attach file

Details of the victim of the crime

First name

Last name

Identity number

Passport number

Town / Locality

Street

Number

Postal Code

CityCode

Telephone

Electronic Mail

Connection with the crime (connection with the crime – whether the party filing the position is the victim of the crime or a family member)

The following is an explanation of the Victims of a Crime system and registration in it

The type of application for pardon for which he is interested to express his position

Please choose the appropriate option

This position is the first I file under this case

This position updates a previous position I have filed under this case

dated

Case details

Last name of the party applying for the pardon

First name of the party applying for the pardon

ID card number of the party applying for the pardon

Court

Court's case number

City of court

city_court

The position of the victim of the crime

Choose one of the following possibilities

Attaching the reasoned position file

Reasoning the position

I would like a representative of the Department to contact me by phone/ to state my position verbally

Attaching the reasoned position file

Reasoning the position

Appendices

If you possess any other documents relevant to your request, attach them here.