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Get CT JD-VS-23 2009-2024

This form must be filled out and signed. 2. This form must be received before a decision is made on the claim. 3. Send the original to the Office of Victim Services at the address shown below. FROM: Office of Victim Services, 225 Spring Street, Fourth Floor, Wethersfield, CT 06109 Name of Victim Claim Number Name and Address of Claimant Claims Examiner State law requires that the Office of Victim Services (OVS) deduct $100 from every claim that receives compensation. However, OVS may waiv.

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