A Vermont Victim Impact Statement & Request Form is a form used by victims of crime in the state of Vermont to express how the crime has affected them and to request restitution from the offender. It is a document that is provided to victims of crime in order to give them the opportunity to tell their story and explain the impact of the crime on their life. There are two types of Vermont Victim Impact Statement & Request Form; the Victim Impact Statement and the Restitution Request Form. The Victim Impact Statement allows victims to explain the physical, emotional and financial impact of the crime on them, and to describe any long-term effects the crime has had on their life. The Restitution Request Form enables victims to submit a request for restitution from the offender. It includes a breakdown of the financial losses they have incurred as a result of the crime, such as medical bills, lost wages, or property damage. The Vermont Victim Impact Statement & Request Form is an important document in the criminal justice system, as it provides victims with an opportunity to be heard and to seek financial restitution from the offender.