How to Apply

Application Form

Each person seeking assistance must complete a separate application

  • Section 1 of the application is for information about the person who has expenses or is seeking assistance.
  • Section 2 is for information about the crime victim.
  • Section 3 is for parents, guardians or others who are legally responsible for the person seeking assistance and who are filling out the application on their behalf.

How to Apply

Additional forms and/or verification documents may be required, including when requesting an emergency award, relocation assistance or compensation for income loss.

Eligibility of all applications and payment of every bill is subject to legal requirements and review by the Victim Compensation Program.

The completed application must be signed and dated where indicated and mailed to:

Victim Compensation and Government Claims Board
P.O. Box 3036
Sacramento, CA 95812-3036

To protect your privacy, do not transmit applications or other confidential Victim Compensation Program information via e-mail.

Tips that will help expedite the claim:

  • Complete every section of the application possible.
  • Include copies of available crime reports, bills, receipts and supporting documentation with the application.
  • Send bills to the insurance company, workers’ compensation carrier, or Medi-Cal right away. CalVCP corresponds with such providers as needed to verify benefits and coordinate payment of bills.

If you need assistance with your application, don’t have a printer and need an application mailed to you, or have questions regarding victim compensation, please calll 1-800-VICTIMS for the phone number of your local county Victims Assistance center or call the VCP Customer Service Section toll free at 1-800-777-9229.