NC Crime Victims' Rights Act Summary Booklet Name(Required) First Last Number of printed/hardcopies of the handbook being requestedChoose an option1 English2 EnglishUnfortunately, the stock of Spanish handbooks are unavailable at this time. NCVAN apologizes for any inconvenience. In addition to the printed/hardcopies you ordered, you will receive an email with links to download both the Spanish and English electronic versions.Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I am a:(Required)VictimLoved one of a victimProfessional working with victim(s)Victimization CategoryChoose OneAdult Physical AssaultAdult Sexual AssaultAdults Sexually Abused/Assaulted as ChildrenArsonBullyingBurglaryChild Physical Abuse or NeglectChild PornographyChild Sexual Abuse/AssaultDomestic and/or Family ViolenceDUV/DWI IncidentsFalse imprisonmentElder Abuse or NeglectHate CrimeHuman Trafficking: LaborHuman Trafficking: SexIdentity Theft/Fraud/Financial CrimeKidnapping (non-custodial)Kidnapping (custodial)Loved ones of homicide victimsMass Violence (Domestic/International)Other Vehicular VictimizationProperty crimes: Destruction of property. Damage to property, VandalismRobberyStalking/HarassmentTeen Dating VictimizationTheftTerrorism (Domestic/International)Violation of a Court (Protective) OrderDemographic InformationCollecting demographic information helps us (and our funders) to better understand what groups in the community we are and are not serving so that we can improve our outreach, but it is always optional. You do not need to answer these questions to receive a handbook, but we do appreciate any information you are willing to provide.Date of Birth Month Day Year Please select the race/ethnicityAmerican Indian or Alaska Native / Indigenia de EEUU o nativa de AlaskaAsian / AsiáticoBlack or African American / Negra o afroamericanoHispanic or Latino / Hispano o latinoNative Hawaiian or Other Pacific Islander / Nativo hawaiano u otro isla del PacíficoWhite Non-Latino or Caucasian / Blanco o caucásico no latinoSome Other Race / Otra RazaMultiple Races / Varias RazasPrefer not to answer / Prefiero no responderOtherPlease select the gender identityMale / MasculinoFemale / FemininoGender Identity not listed / Identidad de género no esta en la listaPrefer not to answer / Prefiero no responderOtherDoes the person requesting services identify with any of the following (please check all that apply)? Deaf or Hard of Hearing / Sordo o dificultades auditivas Homeless (Includes those residing in shelters or in other temporary housing such as a friend's couch) /Personas sin hogar (incluye a los que residen en refugios o en otras viviendas temporales, como el sofá de un amigo) Immigrant / Inmigrante LGBTQIA+ Veteran / Veterano Person with Disabilities: Cognitive or Physical / Persona con discapacidades: Cognitivo o Físico Limited English Proficiency / Dominio limitado de la idioma inglés None of the above or prefer not to answer / Ninguna de las anteriores o prefiero no contestar CommentsEmailThis field is for validation purposes and should be left unchanged.