Online Request for Victim Services

CVRCC serves victims of crime who are residents of Shelby County or a visitor whose crime occurred in Shelby County.

Please complete the following form in order to request services.  PLEASE NOTE THIS IS ONLY A REQUEST FOR SERVICES - A CVRCC advocate or counselor will respond to you within three business days to discuss your options and eligibility.


Please Provide Your Information

"Please click only once to submit your form."