Links to Forms and Publications 

Service Provider Forms

Mental Health Service Report (fill-in form for service providers)

Employer's Certificate (Word)

Funeral Director's Report (Word)

Physicians Report (to be completed by attending physician)

Law Enforcement Victims Rights Notification Pamphlet (eff. 7/1/09)

         Crime Victims Compensation Claim Forms

Claim Form (English - Use for crimes occurring on or after 1/2009)  NEW

Claim Form fill-in version (English - crimes occurring on or after 1/2009)  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 11/1/08

Oklahoma Crime Victims Compensation Act  (November, 2008)

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Brochures / Pamphlets

Victims Rights & Compensation Information Brochure (English)

25 Suggestions to a Witness

Law Enforcement Victims Rights Notification Pamphlet (eff. 7/1/09)

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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)

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Laws and Rules

Victims Compensation Board & Sexual Assault Exam Fund Rules/Regs

Victims Compensation Act

Crime Scene Clean up Guidelines for Payment

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Forms for Use by Victim-Witness Services Personnel Only

Victim Witness Coordinator List

Additional Consideration Transmittal Form (Word fill-in form)

Appeal Transmittal Form (Word fill-in form)

Claim Form (Word fill-in form)  NEW

Claim Form (non fill-in form)  NEW

Claim Summary Template (Word fill-in form)  NEW

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

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

Victim Impact Statement

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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