Application for Benefits - Crime Victims
 

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Title Application for Benefits - Crime Victims (325 KB PDF)
Description Used by victims of a crime in Washington State to receive benefits for time lost from work, loss of financial support, medical or mental health treatment.
Detail
Form number F800-042-000
Availability Order it
Keywords application, application for benefits, benefits, crime, crime victim, crime victim compensation, crime victims compensation, cvc, industrial insurance, insurance, worker's compensation, workers compensation, workers' compensation
Languages English , Spanish
Valid dates 02-2009
Contact information Crime Victims Compensation
Web pages Help for Crime Victims

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