Victim Witness Client Intake Form

1 W. Main St. | Newcastle, WY 82701

Weston County Attorney

Contact Us

Attorney’s Office

204 W. Main Street

Newcastle, WY 82701

Ph: 307-746-9131

Email: [email protected]

Victim Witness Client Intake Form

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Your Name

First

Last

Email

Date of Birth

Gender

Male
Female
Other

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number

Preferred Way to Contact

Call
Text
Email

Race/Ethnicity

Notes

Dependent Information - Children in the Home

Child Name #1

First

Last

Child Date of Birth - Please use this format: ___/___/___

Child Name #2

First

Last

Child Date of Birth - Please use this format: ___/___/___

Child Name #3

First

Last

Child Date of Birth - Please use this format: ___/___/___

Offender and Incident Information - If Offender is Unknown, Please Put Unknown in Both Boxes

First

Last

Date of Birth - Please use this format: ___/___/___

Crime

Date of Crime

More Information :
240 W Main St, Newcastle, WY 82701
307-746-9131
www.westongov.com/county-attorney/
THANK YOU

COUNTY GOVERNMENT

CITIZEN SERVICES

COMMUNITY SERVICES

Nathan Todd

Chairman of the Weston County Commission

Past County Elected Officials

Lists of former county elected officials are now available online! These date back to 1915!

Tony Barton
Chairman of the Weston County Commission

Past County Elected Officials
Lists of former county elected officials are now available online! These date back to 1915!