Application to Reopen Crime Victim Claim for Aggravation of Condition
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
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| Title |
Application to Reopen Crime Victim Claim for Aggravation of Condition (A fillable form - 158 KB PDF)
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| Description | Benefits are limited to $50,000 per claim. if your claim has met or exceeded this cap, your reopening application will be denied and we will be unable to pay any further benefits. Used by victims of crime and medical or mental health providers to request a claim be reopened. |
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| Detail | ||
| Form number | F800-031-000 | |
| Availability | Not available in print |
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| Keywords | crime victims compensation, cvc, industrial insurance, reopen claim, worker's compensation, workers compensation, workers' compensation | |
| Languages | English , Spanish | |
| Valid dates | 12-2010 | |
| Contact information |
Crime Victims Compensation
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|
| Web pages | Help for Crime Victims | |
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