Noordanus AdvocatuurVictim support registration form

Victim support registration form

Do you need assistance with a criminal case in which you are the victim? We invite you to a free intake interview to assess how we can assist you.

You may have been referred to this intake form by our office, or you may have found it yourself. By completing the form below, we can make a good assessment of whether we can assist you and whether an intake interview at our office would be beneficial. If the interview is already scheduled, our lawyers can prepare adequately based on the information you provide. Rest assured that we will treat the information you provide confidentially. Thank you in advance for completing the form!

Registration Form

    Personel data


    Legal insurance

    Criminal act