If you would like to add your agency to the Victim Services Directory,
please complete the form below. All mandatory fields are marked with an asterisk.
If your agency serves more than one type of victim, please select
all relevant types of victims. If your agency provides numerous services, please select the applicable
ones. Your request will be reviewed by a Victim Service Directory staff
member and following verification, your agency will be added to
the Directory. The addition should be made within 20 business days.