Make a Referral

Refer to Restorative Justice Services

As a community-based agency, St. Croix Valley Restorative Services strives to deliver programming which is respectful of the needs of victims, aiming to guide and redirect youth, young adults, and adults in conflict with the law, or with each other. Intervention services are community-based alternatives or supplements to formal system processes. Restorative Justice based interventions are confidential and give participants a chance to address the impact and harms created by their actions.

Please download a referral form for each individual being referred, or complete the online form below. Please include with the referral:

  • Preferred contact information for your court or agency
  • Court timelines or deadlines
  • Judgment of conviction, police report or sanction details for screening
Download Fillable Form

Need to make a referral for an Intimate Partner / Domestic Violence Risk Assessment? Please use this form instead.

Referral
First
Last
Street Address
Address Line 2

Maximum file size: 67.11MB

Please attach any necessary documents to aid in reviewing the case for services, including but not limited to their citation, judgment of conviction, school reports, or police report.
Required to receive notification upon submission of your referral.
More than one service may be referred. Please check all that apply. Cases will be screened by SCVRS staff.
If you would like Restorative Conferencing to be considered as an option, Restorative Services can screen the case for appropriate services.