Board of Pardons and Parole

300 Maryland Avenue

Deer Lodge, MT 59722

REGARDING INMATE:

Name _______________________________ AO#________________

Dear Board of Pardons and Parole:

Please provide me notice of:

1.The date, time and place of a parole hearing at which I have the right to submit a statement to the Board of Pardons and Parole. I understand I may at that time request to appear before the Board to present testimony regarding parole release consideration or at any time may file objections in writing or by tape recordings.

2.Prompt notice of a decision of the Board of Pardons and Parole, a decision of the Governor to commute the sentence or to grant executive clemency; parole release from confinement and any conditions attached to the parole release.

Name of Victim/Witness: ______________________________________________________

Address: ___________________________________________________________________

Telephone(s): _______________________________________________________________

Signature: __________________________________Date: ____________

Additional information: ______________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

Important Note on Confidentiality: In 1998, the Montana Supreme Court ruled that offender records held by the Board could be subject to public inspection. It is the practice of the Board to keep information about victims confidential for the victim’s personal safety.

**CONFIDENTIALITY**

Please check here if the information you are sending to the Montana Board of Pardons and Parole should remain confidential and not be disclosed to the inmate.

Additional Note: The Vine system is an automated notification system that provides victims of crime and other concerned persons with continual access to inmate custody information via the telephone, and is additional to the registration provided by this form. Vine is a 24-hour hot-line that allows victims to verify the custody status of an inmate in a Montana prison and to register for automatic telephone notification if the inmate is released, transferred or escapes. The Department of Corrections is not notified of this registration because Vine is confidential. To register with Vine, call toll-free 1-800-456-3076 and follow the instructions. For more information or a brochure, call 1-888-223-6332.