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Rev. 4/11/11 VICTIM COMPENSATION APPLICATION ELEVENTH JUDICIAL DISTRICT STATE OF COLORADO RETURN COMPLETED APPLICATION TO: Victim Compensation 136 Justice Center Rd. Rm. 203 Phone: 7192690170 Canon
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How to fill out victim compensation application eleventh:

01
Start by gathering all necessary documents such as police reports, medical records, and receipts related to the incident.
02
Review the application form carefully, ensuring all sections are understood before proceeding.
03
Begin by providing personal information including name, address, phone number, and social security number.
04
Provide details about the incident, including the date, time, location, and a brief description of what occurred.
05
Fill out any sections related to injuries sustained, medical treatment received, and any ongoing medical expenses.
06
If applicable, provide information about lost wages or income due to the incident.
07
Ensure all supporting documents are properly attached or submitted along with the application.
08
Review the completed application thoroughly, checking for any errors or missing information.
09
Sign and date the application before submitting it either online or by mail.

Who needs victim compensation application eleventh:

01
Individuals who have been victims of a crime and have suffered physical, emotional, or financial harm as a result.
02
Victims who require financial assistance to cover medical expenses, counseling services, lost wages, or funeral costs.
03
Individuals who have reported the crime to the police and have cooperated with law enforcement investigations.
Overall, the victim compensation application eleventh is intended for those who have experienced harm due to criminal acts and require financial support to aid in their recovery.

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