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Crime Victims Compensation Board
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CVCB-Application-Information
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CVCB Application Information
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Compensation Claim Application
Please read the Claim Application Instructions at the beginning of the Claim Application before completing the
CVCB Claim Form in English
or
CVCB Claim Form in Spanish
.
The claim application information must be entered with black or blue ink, or typed.
Enter all requested information for each section.
If you need assistance in filling out the claim application, contact the Crime Victims Compensation Board office at 800-469-2120 or 502-573-2290.
Quick Links
Claim Form (English)
Claim Form (Spanish)
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