Medical Equipment or Supply Vendors

The VOCP pays up to $2,500 in medical equipment and medical supplies for qualified victims. Medical equipment and medical supply bills should be submitted with a VOCP Voucher Form and must contain:

    •  Victims/Applicants name and address

      •  Date(s) of service or delivery

        • Type(s) of service(s) or equipment provided (HCPCS Codes are required)

          • Billed amount 

            • Provider’s license number, federal tax identification number (FEIN or SSN), business address, telephone number, signature or signature stamp, and billing date

              Payment of any bill submitted may be subject to verification by the victim or other independent verification prior to payment