This form is for representatives or service providers to refer on behalf of someone else. If you are referring on behalf of a victim (person harmed) or offender (person who caused harm), you may use this form to express their interest in participating in a restorative justice process.
Note that the party you are referring on behalf of must be aware of this referral, as restorative justice is a voluntary process.
Information Privacy
In order to process your request, we will ask you for some personal information, such as your name. We will only use this information for the reason it was collected. Your privacy is important to us. For more information on how the Department of Justice collects, uses, stores and shares personal information, read our Information Privacy Statement.
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