Get Co Victim Compensation Application 2016-2025

Filling out the Colorado Victim Compensation Application is an essential step for individuals seeking assistance after experiencing a crime. This guide will provide clear and supportive instructions to help users complete the application accurately and efficiently.

Follow the steps to complete the application online:

1. To begin, click the ‘Get Form’ button to access the application form and open it in your editing tool.
2. Proceed to Section 1, where you will need to provide victim information. Fill in the victim’s name, mailing address, contact numbers, date of birth, age at the time of the crime, and sex. Please also indicate the state of residency and provide demographic information as required.
3. If you are not the victim, complete Section 2 by providing your information as the claimant. Include your name, mailing address, contact numbers, and your relationship to the victim.
4. In Section 3, detail the crime information. You will need to specify the type of crime, date of the crime, the police agency to which the crime was reported, and the crime report number. Additionally, include the name of the law enforcement officer handling the case and any relevant details about the suspect.
5. Section 4 involves benefits where you will indicate the types of claims for which you are requesting funds. Carefully check each applicable box and provide any requested information related to medical services, personal medical items, counseling, lost wages, funeral expenses, and residential property damage.
6. In Section 5, complete the insurance information. Identify all sources of insurance and indicate whether or not you have them, along with the insurance company’s details.
7. If you are considering a civil lawsuit, complete Section 6 with your civil attorney's contact details, if applicable.
8. Finally, ensure you complete Section 7 by providing the certification of the application. Read through the rights and responsibilities, then print your name, date, and sign.
9. Once you have filled in all required sections and reviewed your application for accuracy, you can save your changes, download, print, or share the form as necessary.

Complete your CO Victim Compensation Application online today to ensure you receive the support you need.