Application for Benefits - Crime Victims
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
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| Title |
Application for Benefits - Crime Victims (A fillable form - 870 KB PDF)
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| 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. The Spanish version of the instructions are online as F800-042-999. |
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| Detail | ||
| Form number | F800-042-000 | |
| Availability | Online only. See document above to download. |
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| Keywords | crime victims compensation, cvc, industrial insurance, worker's compensation, workers compensation, workers' compensation | |
| Languages | English , Spanish | |
| Valid dates | 12-2010 | |
| Contact information | ||
| Web pages | Help for Crime Victims | |
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