New South Wales Repealed Regulations

This legislation has been repealed.

CRIMES (SENTENCING PROCEDURE) REGULATION 2000 - SCHEDULE 1

SCHEDULE 1 – Forms

(Clause 3)

Forms 1-4

Form 5

(Clause 10)

VICTIM IMPACT STATEMENT FOR PRIMARY VICTIMS

( Crimes (Sentencing Procedure) Act 1999 , section 30)

(1)

Name of victim(s):
Name of offender:
Charges to which this statement relates:
Sentencing court:
Sentencing date:

(2)

Details of personal harm suffered as a direct result of the offence(s)
Physical bodily harm:
Mental illness or nervous shock:

(3)

Attached to this statement are the following medical or other specialist reports:

(4)

(To be completed if statement prepared by victim's representative)
Nature of relationship to primary victim:
Duration of relationship to primary victim (unless a relative by blood or marriage):
Nature of primary victim's incapacity:

(5)

(To be completed if statement prepared by victim himself or herself, or by victim's representative)
This statement is true to the best of my knowledge and belief*
or (if the person preparing the statement is less than 12 years old)
I have not told any lies in this statement.*
Signed (victim or victim's representative)
Dated
(* Delete whichever does not apply)

(6)

(To be completed if statement prepared by a qualified person on behalf of the victim(s))
This statement is true to the best of my knowledge and belief.
Signed (deponent)
Dated
I do not object to this statement being given to the court.
Signed (victim or victim's representative)
Dated

Form 6

(Clause 10)

VICTIM IMPACT STATEMENT FOR FAMILY VICTIMS

( Crimes (Sentencing Procedure) Act 1999 , section 30)

(1)

Name of family victim(s):
Name of primary victim(s):
Name of offender:
Charges to which this statement relates:
Sentencing court:
Sentencing date:

(2)

Details of impact of the death of the primary victim on the family victim(s), being the member(s) of the immediate family of the primary victim(s)

(3)

Attached to this statement are the following medical or other specialist reports:

(4)

(To be completed if statement prepared by the family victim himself or herself)
This statement is true to the best of my knowledge and belief*
or (if the family victim is less than 12 years old)
I have not told any lies in this statement.*
Signed (victim(s))
Dated
(* Delete whichever does not apply)

(5)

(To be completed if statement prepared by a qualified person on behalf of the victim(s))
This statement is true to the best of my knowledge and belief.
Signed (deponent)
Dated
I do not object to this statement being given to the court.
Signed (victim(s))
Dated

Forms 7-16