This form is only for submitting applications that meet the specific requirements for Presumptive Eligibility (PE) processing through the Crime Victims’ Compensation (CVC) Program.

To qualify for PE processing, an application must:

  • Include all required documents
  • Be submitted by a trained advocate

If these requirements are not met, the application will be sent to another team for regular processing, which may take longer.

You can also use this form to ask questions about the status of a previously submitted PE application. Please include as much detail as you can to help us respond quickly.

Do not use this form to send documents for other programs, as that may cause delays. If you're unsure whether this is the right place to submit your information, please use the Contact Us form.

To learn more about Presumptive Eligibility and how to apply, visit: (link to PE page when created).
 

Submitter's Name
Victim's Name
One file only.
256 MB limit.
Allowed types: pdf, doc, docx, jpg, jpeg, png.