Community Impact Statement (SJ-1117B)

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Community Impact Statement SJ-1117BThis form must be used by a community to describe, in writing, the harm, loss or other impacts caused by an offence.

For more information on the Community Impact Statement.

Version: July 2015

Type of File:Dynamic PDF

Minimum required version of Adobe Reader: 7


More information

Only forms with a duly completed File identification section will be processed. 

Contact the police force responsible for investigating the offence for more details concerning the information required in the File identification section.

Contact the Ministère or a victim of crime assistance centre (CAVAC) if you have any other questions concerning the form.

Send the form to the clerk’s office at the Court of Québec, Criminal and Penal Division, in the judicial district where judicial proceedings were instituted against the accused.

A printed version of the form may be obtained from a victim of crime assistance centre (CAVAC).

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