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

Name*

Agency/Firm/Organization*

Agency/Firm/Organization Website*

Street Address*

City*

State* State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Phone*

Zip*

Email*

Your Profession* Your Profession*Advocate - Nonprofit/Community BasedAdvocate - System BasedAdvocate - OtherAttorney - For VictimsAttorney - ProsecutorAttorney - OtherOther (specify below)

Other Profession:

How did you find out about NCVLI* How did you find out about NCVLI* Brochure / Newspaper Individual (name below): Law School NCVLI is asigned TTA Provider Nonprofit / Service Organization (name below): Previously Received NCVLI's Assistance Training Web Search Other (explain below):

Specify Individual or Organization or Explain "Other"

Name of Case in which an amicus brief is requested*

Case Number*

Court Name*

Jurisdiction*

Brief Description of Case (do not provide NCVLI with individually identifiable information).*

Brief description of why you believe an amicus would be useful in THIS 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 and Parties at trial level:

Trial Judge:

Names of Attorneys and Parties at appellate level:

If appellate case, when was review/cert granted?

Brief description of why this case is important to crime victims broadly (i.e., beyond this case).*

If appellate case, has Appellant/Petitioner's brief been filed? If appellate case, has Appellant/Petitioner's brief been filed? Yes No

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

Who is this request for? Who is this request for?AppellantAppelleePetitionerRespondent

Appellate Judge(s):

What is the PRIMARY victims' right issue in the case?* What is the PRIMARY victims' right issue in the case?* Right to be heard Right to be present Right to fairness Right to information Right to notice Right to privacy Right to prompt disposition Right to protection Right to refuse discovery Right to restitution Right to support person Right to accomodations Right to interpreter Other (explain below)

Other

What is the predominant victim population(s) impacted by request:* What is the predominant victim population(s) impacted by request:* All Children Disabilities Elderly Ethnic Minority Immigrant International LGBTQ+ Men Military Native Person(s) of Color Student Trafficked Persons Women Other (explain below)

Other

What criminal offense or conduct is responsible for the underlying victimization? What criminal offense or conduct is responsible for the underlying victimization? Assault/Battery DUI/DWI Domestic Violence Adult Domestic Violence Child Fraud Hate Crime Homicide Identity Theft Kidnapping Sexual Assault - Adult Sexual Assault - Child Sexual Abuse of Children Images (Child Pornography) Stalking Theft of Property Trafficking - Domestic - Labor Trafficking - Domestic - Sex Trafficking - International - Labor Trafficking - International - Sex Other (explain below)

Other

Deadline for filing 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 (explain below)

Other