If you no longer wish to have your agency profiled in the Victim Services Directory, please complete the form below.  All mandatory fields are marked with an asterisk. 
Please allow 15 business days for your agency’s information to be removed from the Directory. If you have any questions, please contact the Victim Service Directory at:
Vsd-rsv@justice.gc.ca 

 [*] Mandatory Fields
1.	Agency Name*:
		
2.	Street Address:
(if applicable)
		
	Suite Number:
		
	City:
		
	Province/Territory:
		
	Postal Code:
		
	Country:
		
3.	Mailing Address*:
(if different than Street Address)
		
	PO Box:
		
	City*:
		
	Province/Territory*:
		
	Postal Code:
		
	Country:
		
4.	Phone Number:
		
5.	Crisis Line:
		
6.	Fax:
		
7.	TTY:
		
8.	General Email*:

Please send your completed form to:	Or Fax your completed form to:
Victim Services Directory			(613) 952-1110
Policy Centre for Victim Issues		Attention: Victim Service Directory
284 Wellington Street
Ottawa, ON 
K1A 0H8