Victim Advocacy Pre-Registration

  • (physical and/or sexual violence)
  • I understand that this is only an application to request services from Aid to Victims of Domestic Abuse (AVDA) and that I must fill this application out completely. I have not misrepresented anything in this questionnaire. I understand this is not a agreement for AVDA to represent me in an already pending legal matter.
  • This field is for validation purposes and should be left unchanged.
Click Below to Pay BIPP Fees

“This class helped me to change and to realize that there are many ways to abuse—not just physical.”

”I have a better relationship with others due to this program.”

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