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Survivor Opt-Out Form

If you decide to opt out of the notification process within the SAKI Project you will need to print the Opt Out Form (Doc), fill in the required documentation, and sign in front of a Notary Public.

The SAKI Project believes that it is important to give the victims the choice in their involvement within the project. To do so, we want to make sure that anyone deciding to opt out of this process does so on his/her own doing. As part of that protection for the victims we require that this be done in front of a Notary Public so that we know for sure that the person filling out the paperwork is the person involved with this project.

Please forward the completed form to:

Crime Victim Assistance Division
Iowa Department of Justice
321 E. 12th Street, Ground Floor
Des Moines, IA 50319

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