Live Online Survivor Speakout Victim Impact Panel

Survivor Speakout Online Victim Impact Panel is a 2-hour live presentation, not a recorded class. There is no test. Once the form has been submitted you will be directed to a page to pay your $55.00 fee. It is your responsibility to ensure that your county accepts online victim impact panels. Ask your probation officer.

NOTE: You must have a reliable pad, laptop or computer to attend Survivor Speakout victim impact panel onlineCell phones are not acceptable. If you do not have a laptop or computer, do not register to attend a Survivor Speakout online panel. 

Read the full guidelines to attend ONLINE

Thursday, September 21st 6pm-8pm
Wednesday, September 27th 10am-Noon
Wednesday, October 18th 6pm-8pm
Wednesday, November 1st  6pm-8pm
Thursday, November 9th 10am-Noon
Tuesday, November 14th 6pm-8pm
Thursday, December 14th 10am-Noon
Wednesday, January 10th 6pm-8pm 
Saturday, January 13th 10am-Noon
Thursday, January 25th 6pm-8pm
Wednesday, February 7th 6pm-8pm
Thursday, February 22nd 10am-Noon
Wednesday, February 28th 6pm-8pm

You will receive a confirmation email after submitting this form. If you do not receive the confirmation email, check your spam/junk folder.

Once you have completed the victim impact panel your probation officer will be notified.

Complete this form and have a recent head shot image of yourself ready to submit to attend a Survivor Speakout Victim Impact Panel ONLINE USING ZOOM.

Your Personal Information

Request the date you would like to attend Survivor Speakout ONLINE LIVE

On what charges were you arrested?

If you chose 'Other' above, please tell us what you were charged with

Your probation officer and date your probation ends

If your probation officer's name is not listed, enter their name here
If you are not sure of the exact date, choose the last day of the month your probation ends

Who is the judge presiding over your case?

If you know the name of your judge, but they are not on the list, enter it here

County information

Click or drag a file to this area to upload.
We must have a recent, clear head shot photo of you to attend ONLINE or you must register to attend IN PERSON.