Victims of Crime Program Forms

Overview

The VOCP has developed a series of forms to assist the victim, or a vendor or service provider, file a claim with the VOCP. Use of the appropriate form will help expedite processing and payment of the claim or bill. All forms are in PDF format and can be downloaded by clicking on the form name:

    VOCP Information and Application

    Police Report Verification

    Authorization for Employer to Release Information

    Patient Release for Medical Information

    Payment/Claim Forms

    Other Forms

    Appeal Information

    Mail, Fax or Email Completed, Signed Applications, Forms and Documents to:

    VOCP
    P O Box 94525
    Las Vegas, NV 89193-1525 

    Fax: (888) 941-7890

    Business Hours

    Monday - Friday 7:00 am - 4:00 p.m.

    Having Problems Viewing Documents on this Page?

    Please note:  A Portable Document Format (PDF) Reader is required to view the documents on this page.
    Adobe Reader Icon-15x15 Click here to download a free copy of Adobe Reader.
    Adobe Reader Mobile Icon 15x15   Click here to download a free copy of Adobe Reader for mobile devices.