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Law Enforcement Relocation Verification Form Must be completed by Law EnforcementThis form is for law enforcement to document the threat to the personal safety of CalVCB Application Number the qualifying.

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How to fill out the Law Enforcement Relocation Verification Form online

The Law Enforcement Relocation Verification Form is an essential document used by law enforcement to assist victims in obtaining relocation benefits. This guide provides clear, step-by-step instructions on how to fill out the form online, ensuring accurate and complete submissions.

Follow the steps to complete the form with ease.

  1. Press the ‘Get Form’ button to access the Law Enforcement Relocation Verification Form and open it in your browser.
  2. Begin with the 'Victim Information' section. Enter the name, phone number, address, city, state, and zip code of the victim accurately.
  3. In the 'Crime Information' section, fill out the crime date, crime code, and crime report number. Additionally, answer whether the victim has been incarcerated, on probation, or on parole due to a felony since the qualifying crime.
  4. Next, determine if it was necessary for the victim to relocate for their personal safety. If yes, provide a detailed description of the threat to their safety beyond the elements of the crime.
  5. Indicate whether the perpetrator is incarcerated. If so, provide the expected release date and explain any ongoing threats to the victim’s safety.
  6. If more than 180 days have passed since the crime, confirm if there are supplemental reports available. Attach any supplemental reports if required.
  7. Provide the name, signature, badge number (if applicable), and contact phone number of the law enforcement official completing the form.
  8. Finally, review all information for accuracy. After confirming all sections are complete, you can save your changes, download, print, or share the form as needed.

Complete the Law Enforcement Relocation Verification Form online today for timely processing of benefits.

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Once we have a complete application and have verified your losses, the Board will review your request. There are many factors that can delay processing your claim. Most decisions are made within 30-60 days. All approved payments are mailed ten days from the Board date.

RELOCATION BENEFITS CalVCB may reimburse a claimant up to $3,418 per household for expenses incurred in relocating. Although your claim may have been found eligible, not all claimants qualify for relocation benefits.

The time limits for filing an application are: Within seven years of the crime, or. Seven years after the direct victim turns 21, or. Seven years from when the crime could have been discovered, whichever is later.

Assault, homicide, child sexual abuse, and sexual assault received the greatest amount of compensation funds in FY 2017, which parallels the data reported in FY 2016.

CalVCB is the payor of last resort and can only pay for treatment not covered by any other reimbursement source, including health insurance, civil suits, vehicle insurance, business insurance, home insurance, state disability insurance, and Worker's Compensation.

CalVCB typically issues payment within 30–90 days from receipt of a bill.

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