Links to Forms and Publications 

Service Provider Forms

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

Mental Health Service Report (non fill-in form to print - 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)

Sexual Assault Examination Fund Application (Revised April 1, 2010) 

Sexual Assault Examination Fund INVOICE (new Feb 2010) (fill-in version)

Sexual Assault Examination Fund INVOICE (new Feb 2010) (non fill-in version)

         Crime Victims Compensation Claim Forms

Claim Form Non Fill-In (English, Feb 2012)  

Claim Form Fill-In (English - Feb 2012)

Aplicar para Compensación para Víctimas de Delitos (Feb. 2012)

Back to Top

Brochures / Pamphlets

Victims Rights & Compensation Information Brochure (English)

Crime Victims Compensation Brochure

Crime Victim Compensation in Indian Country Brochure

25 Suggestions to a Witness

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

Victims Compensation FY 11 Annual Report

Back to Top
 

Victims of Crime Act (VOCA) Forms

Administrative Guide

Change Notice Form 

VOCA ARRA Change Notice Form  New Dec. 2009

VOCA ARRA Project Income Report  New Dec. 2009

VOCA ARRA Property Inventory Report  New Dec. 2009

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 Rights Consolidation Bill (effective Nov. 1, 2010)

Victims Compensation Board & Sexual Assault Exam Fund Rules/Regs

Victims Compensation Act

Victims Legislation Manual

Crime Scene Clean up Guidelines for Payment

Native American Traditional Services Guidelines

Back to Top

Forms for Use by Victim-Witness Services Personnel Only

Victim Witness Coordinator List (January 2013)

Additional Consideration Transmittal Form (Word fill-in form)

Appeal Transmittal Form (Word fill-in form)

Claim Form (Word fill-in form)  

Claim Form (non fill-in form)  

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)

FY 10 Victims Compensation Annual Report

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

Law Enforcement Certificate

Native American Traditional Services Guidelines

Request for Traditional American Indian Services Form

Physicians Report (to be completed by attending physician)

Request for Restitution Form

Sexual Assault Examination Fund Application (4/1/2010)

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