Get Texas Crime Victims' Compensation Program Application - Texasattorneygeneral

This guide provides a clear and supportive framework for individuals seeking to complete the Texas Crime Victims' Compensation Program application online. Understanding each section of the application will help ensure that you provide accurate information and receive the necessary support.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to access the application and open it in the editor.
2. Begin with Section 1, 'Victim Information'. Here, provide details about the victim, including their name, address, contact information, social security number, and date of birth. Ensure you indicate if the victim is deceased.
3. Continue to Section 2, 'Crime Information'. You will need to specify the type of crime, date of occurrence, law enforcement agency involved, and a brief description of the crime and injuries. Ensure that the police report number is included if available.
4. In Section 3, 'Claimant Information', complete details of the claimant if they are not the victim. Include the claimant's contact information and their relationship to the victim.
5. Move to Section 4, 'Medical', and provide information about any medical treatment received by the victim as a result of the crime. Include the names and addresses of healthcare providers involved.
6. Proceed to Section 5, 'Psychiatric Care/Counseling', to indicate if psychiatric assistance has been received due to the crime. List the providers and their insurance details.
7. In Section 6, 'Loss of Earnings', you should indicate if the victim has lost wages as a direct result of the crime. Provide details about employment and last date worked.
8. Next, complete Section 7, 'Loss of Support', detailing any dependents who have lost financial support due to the crime.
9. Section 8 relates to relocation assistance for victims of family violence or sexual assault; list any household members affected.
10. Complete Section 9, 'Funeral', if applicable, including details of funeral costs incurred.
11. In Section 10, provide necessary travel information related to the crime for which compensation is being claimed.
12. Complete Section 11, 'Crime Scene Clean-Up', if this service is needed and include any related costs.
13. In Section 12, indicate if new child or dependent care expenses have arisen due to the crime.
14. Complete Section 13 if you need to claim for replacement of property seized as evidence.
15. Fill out demographic information in Section 14 for statistical purposes.
16. If you have hired an attorney, complete Section 15 with their information.
17. Complete Section 16 regarding any current lawsuits or settlements related to the crime.
18. Finally, sign the application in the Important Affidavit section to authorize information release for processing.
19. Once all sections are completed, review for accuracy, then save changes, download, or print the form for your records.

Ensure your application is completed accurately and submit it online to receive the support you may be entitled to.