Last updated: 4/2/2026
Application For Crime Victim Compensation
Start Your Free Trial $ 23.99What you get:
- Instant access to fillable Microsoft Word or PDF forms.
- Minimize the risk of using outdated forms and eliminate rejected fillings.
- Largest forms database in the USA with more than 80,000 federal, state and agency forms.
- Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
- Trusted by 1,000s of Attorneys and Legal Professionals
Description
APPLICATION FOR CRIME VICTIM COMPENSATION. This form is used to request financial assistance through the Ohio Victims of Crime Compensation Program for expenses resulting from a violent crime. This multi-section form collects detailed information about the victim, claimant (if different), and the crime, including injuries, law enforcement involvement, and related circumstances. Applicants can request reimbursement for eligible out-of-pocket costs such as medical care, lost wages, counseling, funeral expenses, and crime scene cleanup. The form also requires disclosure of insurance coverage, employment details, and any other benefits received, along with authorizations for release of medical and related records. Additional sections address dependents, legal representation, and required certifications. www.FormsWorkflow.com
