Initial Report After a Victimization
You should receive a form from the law enforcement agency once you make a report of the crime that has affected you. This form is used for notification purposes and it not intended as a tool to create any investigation. A crime must be reported to the local law enforcement agency before completing or sending this form to our office.
Supplemental Forms & Applications
- DCVC Application
- Payment and Reimbursement At A Glance
- Mental Health Counselor's Report
- Physician's Disability Report - Lost Wages
- Employer's Report - Lost Wages
- Funeral Home Bill Case Status Form
- Funeral Home Memorandum of Understanding
- Self-Employment Verification of Lost Wages
- Physicians Disability Report - Loss of Support
- Additional Counseling Sessions Request Form
The Office of the °µÍø½ûÇø General, Department of Crime Victim Compensation (DCVC) will periodically update this section to provide tips and tools to assist Victim Service Advocates & Providers statewide. Please feel free to download any of the documents and alter them as needed for your program.
