Get Criminal Infuries Compensation Wa Application Form Word Document

Filling out the Criminal Injuries Compensation Wa Application Form is essential for individuals seeking compensation for injuries incurred due to criminal acts. This guide provides step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to successfully complete your application form.

1. Press the ‘Get Form’ button to access the application form and open it in your preferred editing tool.
2. Begin by filling out the applicant's details in section A. Use block letters in dark ink to provide your full name, including surname and given names, as well as your postal address and contact numbers.
3. Indicate your date of birth and occupation in the corresponding fields. If claiming on behalf of another individual, fill in their details as well.
4. Complete the acknowledgment of application slip. Make sure to provide the address where the acknowledgment will be sent.
5. Move to the incident details section (C) and describe the incident thoroughly. Fill in all relevant information such as the date, place, nature of the incident, and any report numbers.
6. If applicable, provide prosecution details, including whether the offender was charged, the court date, and any outcomes.
7. In section E, address claims involving injury. Confirm whether you suffered an injury and provide details of claims for loss, interim payments, and any associated costs.
8. Proceed to section F if you are filing claims on behalf of a deceased individual. Complete related questions regarding financial support and funeral expenses.
9. Select the relevant section of the Criminal Injuries Compensation Act 2003 under which you are making your claim.
10. Lastly, fill out the declaration section by signing and dating the form to acknowledge your understanding of the information provided.
11. Review all sections for completeness and ensure you’ve attached any required documents. Save the form, and you can choose to download, print, or share as needed.

Complete your documents online for an efficient application process.