Please copy and paste this form to your email. If you don't know how to copy and paste, that's ok. :-) Just try to answer all the questions. Please give detailed answers. I will be able to assist you faster and more efficiently with complete information.

Address your email to:

Subject: Request For Assistance

Your requests will be answered A.S.A.P.

Request For Assistance Form

Thank you,
Kimberly ;-D

1) What is your assailant's name?

2) What is your assailant's prisoner I.D. number and current prison location?

3) When is your assailant's parole/probation/release date?

4) What was your assailant convicted of and how long is the sentence?

5) Are you the targeted victim/survivor, family member, friend, etc.?

6) Including dates and locations, please give a brief summary of the crime(s) committed.

What can CSG do to assist you with keeping your assailant incarcerated?

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