421 N.W. 13th, Suite 290 Oklahoma City, OK 73103
Links to Forms and Publications
Crime Victims Compensation Claim Forms
Claim Form (English - Use for crimes occurring on or after 11/1/08) NEW Claim Form fill-in version (English - crimes occurring on or after 11/1/08) NEW Claim Form (English - Use for crimes occurring on or after 11/1/07) - Click to Open Claim Form (English - Use for crimes occurring on or after 11/1/07) - Fill in Form Claim Form (English - Use for crimes prior to Nov 1, 2007) Claim Form (English - Use for crimes occurring prior to Nov 1, 2007 - fill-in form Claim Form (Spanish - Use for crimes occurring on or after 11/1/07 Oklahoma Crime Victims Compensation Act (November, 2008) Back to Top Brochures Victims Rights & Compensation Information Brochure (English) 25 Suggestions to a Witness Back to Top Victims of Crime Act (VOCA) Forms 2009 VOCA Grant Application Kit (New) Administrative Guide Change Form Personnel Form Spreadsheets (all forms needed to request funds, submit quarterly reports, and request budget revisions) Statement of Subgrant Audit Arrangements (Word) Statement of Subgrant Audit Arrangements (pdf) Subrecipient Program Guidelines (pdf) Back to Top Laws and Rules Victims Compensation Board & Sexual Assault Exam Fund Rules/Regs Victims Compensation Act Back to Top Forms for Use by Victim-Witness Services Personnel Only Additional Consideration Transmittal Form (Word fill-in form) Appeal Transmittal Form (Word fill-in form) Claim Form (Word fill-in form) NEW Claim Summary Template (Word fill-in form) Collateral Source Information Form (Word fill-in form) Continued Claim Transmittal Form (Word fill-in form) Eligibility Transmittal Form (Word fill-in form) Employer's Certificate (Word) Funeral Director's Report (Word) Mental Health Service Report (fill-in form for service providers) Law Enforcement Certificate (Word format -- to be completed by investigating officer) Physicians Report (to be completed by attending physician) Request for Restitution Form Sexual Assault Examination Fund Application (Revised 11/1/07) Victim Notification Request Form Victims Compensation Worksheets Victim Impact Statement Back to Top Contact Information: Oklahoma District Attorneys Council Oklahoma Crime Victims Compensation Board 421 NW 13th, Suite 290 Oklahoma City, OK 73103 405-264-5006 Toll-Free 1-800-745-6098 E-mail: victimsservices@dac.state.ok.us
Claim Form (English - Use for crimes occurring on or after 11/1/08) NEW
Claim Form fill-in version (English - crimes occurring on or after 11/1/08) NEW
Claim Form (English - Use for crimes occurring on or after 11/1/07) - Click to Open
Claim Form (English - Use for crimes occurring on or after 11/1/07) - Fill in Form
Claim Form (English - Use for crimes prior to Nov 1, 2007) Claim Form (English - Use for crimes occurring prior to Nov 1, 2007 - fill-in form Claim Form (Spanish - Use for crimes occurring on or after 11/1/07 Oklahoma Crime Victims Compensation Act (November, 2008)
Back to Top
Brochures
Victims Rights & Compensation Information Brochure (English)
25 Suggestions to a Witness Back to Top
Victims of Crime Act (VOCA) Forms 2009 VOCA Grant Application Kit (New)
Administrative Guide
Change Form
Personnel Form Spreadsheets (all forms needed to request funds, submit quarterly reports, and request budget revisions) Statement of Subgrant Audit Arrangements (Word) Statement of Subgrant Audit Arrangements (pdf) Subrecipient Program Guidelines (pdf) Back to Top
Laws and Rules
Victims Compensation Board & Sexual Assault Exam Fund Rules/Regs Victims Compensation Act
Forms for Use by Victim-Witness Services Personnel Only
Additional Consideration Transmittal Form (Word fill-in form) Appeal Transmittal Form (Word fill-in form)
Claim Form (Word fill-in form) NEW
Claim Summary Template (Word fill-in form)
Collateral Source Information Form (Word fill-in form)
Continued Claim Transmittal Form (Word fill-in form)
Eligibility Transmittal Form (Word fill-in form)
Employer's Certificate (Word)
Funeral Director's Report (Word)
Mental Health Service Report (fill-in form for service providers)
Law Enforcement Certificate (Word format -- to be completed by investigating officer)
Physicians Report (to be completed by attending physician) Request for Restitution Form
Sexual Assault Examination Fund Application (Revised 11/1/07)
Victim Notification Request Form
Victims Compensation Worksheets
Victim Impact Statement
Back to Top Contact Information: Oklahoma District Attorneys Council Oklahoma Crime Victims Compensation Board 421 NW 13th, Suite 290 Oklahoma City, OK 73103 405-264-5006 Toll-Free 1-800-745-6098 E-mail: victimsservices@dac.state.ok.us