To keep your claim moving forward, we need a few documents from you. Uploading them is quick and easy with this form—you can attach multiple files if needed. If you have any questions or run into any issues, we’re here to help! 

Note: You’ll need a claim number to submit your documents. If you haven’t applied for the CVC Program yet, don’t worry—you’ll get a claim number automatically when you submit your application. If you’ve already applied but can’t find your claim number, use our Contact Us for help.

Attorney's Fees

Child and Dependent Care

Crime Scene Clean-Up

Dental Care

Disabled Peace Officer Payments

Funerals

Loss of Support

Lost Wages

Medical Care

Mental Health Care

Rent and Relocation

Seized Property Replacement

Travel

Support Documents

Contact Info

Name

Victim's Name

Victim's Name

Claim Information

Maximum 15 files.
256 MB limit.
Allowed types: jpg, tif, pict, txt, pdf, doc, docx.