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Application for Crime Victim Compensation

State of CaliforniaVictim Compensation BoardForm VCGCB-VCP-005 (Rev. 10/2017) [ENG]Page 1 of 7 Application For Crime Victim CompensationAssociated Application ID(Enter if known)Section 1: ClaimantA separate Application must be filed for each person seeking 1 must be completed for all applications. The claimant is the person who has expenses or is seeking assistance as a result of a Crime . If you are filing this Application on behalf of someone else, put his/her information in Section 1 and your information in Section Spoken LanguagePreferred Written LanguageFirst NameMiddle NameLast NameGenderRelationship to VictimSocial Security Number (SSN)No SSNDate of BirthFrom the date of the Crime to now, has the claimant been in prison, on probation, on parole or post-release community supervision because of a felony?

The crime victim is the person who was injured, threatened with injury, or killed due to the crime. First Name Middle Name Last Name Gender Social Security Number (SSN) ... laboratory reports, chart notes, narrative reports, and billing records), mental health, and felony conviction records, to the California

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