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Get AL ACVCC Application 2015-2024

Applicable information in SECTION 6 should be completed if you want consideration of lost wages or economic loss incurred as a result of your victimization. You must provide a doctor's excuse to be eligible for lost wages. The applicable information in SECTION 7 and SECTION 9 should be completed to the best of your ability. 15. The information in SECTION 8 should only be completed if the victim is deceased. 16. Complete SECTION 10 if you need emergency financial assistance. Emergency awards .

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