Amicus Brief Request

I have read and understand the above information.* I have read and understand the above information.* Yes No

Are you a member of NCVLI's National Alliance of Victims' Rights Attorneys & Advocates (NAVRA)?* Are you a member of NCVLI's National Alliance of Victims' Rights Attorneys & Advocates (NAVRA)?* Yes No

I have read the above information and understand that NCVLI only responds to requests submitted by victims’ rights attorneys, advocates, and other allied professionals.* I have read the above information and understand that NCVLI only responds to requests submitted by victims’ rights attorneys, advocates, and other allied professionals.* Yes

Name*

Agency/Firm/Organization*

Agency/Firm/Organization Website*

Street Address*

City*

State* State* *AlaskaAlabamaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasNew HampshireKentuckyMarylandMaineLouisianaMassachusettsMichiganMinnesotaMissouriMississippiMontanaNevadaNebraskNew JerseyNew MexicoNorth CarolinaNew YorkNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip*

Email*

Phone*

What is your professional role/title?* What is your professional role/title?* *Academic/EducatorAdvocateAttorneyCourt Personnel (Non-Judge)Corrections Personnel (Non-Advocate)JudgeLaw Enforcement OfficerLegislatorMediaMedical/Mental Health ProfessionalParalegal/Legal AssistantProgram Coordinator/ManagerProbation/Community Supervision Personnel (Non-Advocate)Student - LawStudent - OtherOther (Specify Below)

Other Profession:

What best describes your organization/employer/office?* What best describes your organization/employer/office?* *CourtEducationalFaith-BasedGovernment - OtherLaw EnforcementMilitaryNon-Profit/Community-BasedPrivate Business (Non-Law Firm)Private Law FirmProsecutor's OfficeTribalOther (specify below)

Other organization/employer/office (if selected above)

How did you find out about NCVLI? Select all that apply.* How did you find out about NCVLI? Select all that apply.* Brochure / Newspaper Educational Materials Individual (specify below) Law School NCVLI - NCVLI is Assigned TTA Provider NCVLI - Previously Received NCVLI's Assistance NCVLI - Other Existing Relationship with NCVLI Nonprofit / Service Organization (specify below) Referral (specify below) Search Engine Social Media Training (specify below) Other (specify below)

Additional information regarding how you found out about NCVLI (if Individual, Organization, Referral, Training, or Other selected above)

Name of the case for which you are requesting an amicus brief*

Number of the case for which you are requesting an amicus brief*

Jurisdiction in which you are requesting an amicus brief*

Brief description of the case (do not provide NCVLI with individually identifiable information)*

Brief description of why an amicus brief from NCVLI would be useful in this particular case*

Brief description of why an amicus brief from NCVLI would benefit victims broadly, beyond this particular case*

Is this case at the trial or appellate level?* Is this case at the trial or appellate level?* Trial Court Appellate Court

Names of attorneys at trial level

Name of trial court judge

Names of attorneys at appellate level

Name of appellate court judge

If appellate case, when was cert/review granted?

If an appellate case, has the Appellant/Petitioner filed their brief? If an appellate case, has the Appellant/Petitioner filed their brief? Yes No

If an appellate case, has the lower court issued a written order? If an appellate case, has the lower court issued a written order? Yes No

If an appellate case, who is requesting assistance? If an appellate case, who is requesting assistance?AppellantAppelleePetitionerRespondent

What is the deadline for filing the amicus brief?*

If, during review of this request, we require a copy of the court order for which you are seeking review, do you have a copy that could be provided? If, during review of this request, we require a copy of the court order for which you are seeking review, do you have a copy that could be provided? Yes No Other (specify below)

Other answer regarding providing a copy of court order (if selected above)

What is the PRIMARY victims' right issue in the case?* What is the PRIMARY victims' right issue in the case?* Right to accommodation Right to assert and seek enforcement of rights (standing) Right to access information/records/reports Right to confer Right to counsel Right to equal protection Right to fairness/due process Right to freedom from search/seizure Right to be heard Right to information Right to language access Right to notice Right to be present Right to privacy Right to prompt disposition Right to protection Right to refuse deposition/discovery/interview Right to restitution Right to support person Other (specify below)

Other

What is/are the predominant victim population(s) impacted by your request? Select all that apply.* What is/are the predominant victim population(s) impacted by your request? Select all that apply.* All Children Female Immigrant Indigenous International LGBTQIA+ Male Military/Military Connected National Origin (specify below) Non-Binary Older Adults Persons of Color People with Disabilities Religious Groups (specify below) Student - K-12 Student - College/University Other (specify below)

Additional impacted victim population information (if Religious Group, National Origin or Other selected above)

What criminal offense or conduct is responsible for the underlying victimization? Select all that apply* What criminal offense or conduct is responsible for the underlying victimization? Select all that apply* Assault/Battery Bias/Hate Crime DUI/DWI Domestic Violence/Intimate Partner Violence Fraud Harassment Homicide Identity Theft Kidnapping Non-Consensual Images Property Theft - Robbery Property Theft - Other Sexual Abuse/Assault Sexual Abuse Imagery Stalking Trafficking - Labor Trafficking - Sex Other (specify below)

Other criminal offense or conduct information (if selected above)