421 N.W. 13th, Suite 290 Oklahoma City, OK 73103
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)
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) Back to Top Brochures / Pamphlets Victims Rights & Compensation Information Brochure (English) 25 Suggestions to a Witness Law Enforcement Victims Rights Notification Pamphlet (eff. 7/1/09) 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 Crime Scene Clean up Guidelines for Payment Back to Top 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 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 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)
Back to Top
Brochures / Pamphlets
Victims Rights & Compensation Information Brochure (English)
25 Suggestions to a Witness
Law Enforcement Victims Rights Notification Pamphlet (eff. 7/1/09) 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
Crime Scene Clean up Guidelines for Payment
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)
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
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