DWI Victim Impact Panel

Prior registration is mandatory. No registration at the door.

Register for one date ONLY

Sign- In Begins at 6:30pm

Panel starts at 7:00pm

All locations

Thursday, July 11 - Village of Kenmore Courtroom, 2919 Delaware Avenue, Kenmore, NY 14217

Wednesday, July 17 - Town of West Seneca Courtroom, 1250 Union Road, West Seneca, NY 14224

Thursday, July 25 - Town of Amherst Courtroom, 400 John James Audubon Parkway, Amherst, NY 14228

Your Name: *

Your Address: *

Your Email: *

Re-input email: *

Your Telephone Number: *

Name of Judge who ordered the VIP: *

City, Town, or Village where Judges presides: *

If non-Erie County, referring court:

*Buffalo clients only: Docket Number:

I have been advised that the panel will take place on the date and location I selected above. Registration will begin at 6:30pm. Panel will begin promptly at 7:00pm and late arrivals will not be admitted. I will bring photo ID, or two forms of other ID, and a Money Order for $25, payable to Erie County STOP-DWI. No checks or cash will be accepted.

I have read and understand instructions

You MUST check the box above in order to process your registration. If this field is not checked, the form will not be submitted and you will not be registered for a panel.

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