Restorative Justice Referral Form

If you are a school, law enforcement agency, Probation staff or court staff and want to make a referral of someone for a Restorative Justice intervention, you may either print, complete and fax the below form.


Call us so we can email you a form you can complete on your computer, then fax to us.

Once we receive the faxed referral form, we will contact you to get more details of the case and determine the next steps in the case development. If you would like to know the general protocols for Restorative Justice referrals, please contact us. We look forward to talking with you.

Please download the Referral Form
Print and Complete it
Then fax it to (805) 349-8963.

As soon as we receive your Referral Form, one of our coordinators will be in touch with you.

Conflict Solutions Center