CalVCP Forms and Publications
You can request free, printed, copies of certain publications by using the Materials Request Form 
.
Please contact Public Affairs at 916-491-6400, with questions regarding publication requests.
Applications for Victim Compensation
- Application for Crime Victim Compensation This application can be filled out on-line and printed (Available Online Only)
Brochures
- California Victim Compensation Program (General Information Brochure)
- Restitution for Victims
- Your Restitution Responsibilities (A Brochure for Adult and Juvenile Offenders) (Available Online Only)
- Healthcare Provider Information Pamphlet (Available Online Only)
- Responsibility for Repayment of Victim Funds
- Victim Compensation: Your Right to Appeal (Available Online Only)
- Help for Victims of Hate Crime
En Español
- Solicitud Para Recibir Compensación Por un Delito (Disponible sólo en línea)
- Programa de Compensación para Víctimas de California (Folleto de Información general)
- Recuperación Financiera: Una Guía para la Restitución de Víctimas (Disponible sólo en línea)
- Responsabilidades de Restitución: Un Folleto para Ofensores Adultos y Menores
- Hoja de Información:
Mudanza, Alojamiento y Recursos de Refugios para Victimas de Violencia Domestica y Otros Crimenes Violentos (Disponible sólo en línea)
- Compensación para Víctimas: Su Derecho de Apelar (Disponible sólo en línea)
Victim Compensation Program (CalVCP) Fact Sheets
- CalVCP Fact Sheet - English
- CalVCP Fact Sheet - Spanish
- CalVCP Fact Sheet - Armenian (Available Online Only)
- CalVCP Fact Sheet - Chinese (Available Online Only)
- CalVCP Fact Sheet - Farsi (Available Online Only)
- CalVCP Fact Sheet - Hindi (Available Online Only)
- CalVCP Fact Sheet - Hmong (Available Online Only)
- CalVCP Fact Sheet - Korean (Available Online Only)
- CalVCP Fact Sheet - Russian (Available Online Only)
- CalVCP Fact Sheet - Tagalog (Available Online Only)
- CalVCP Fact Sheet - Vietnamese (Available Online Only)
Domestic Violence Victims
- Help for Victims of Domestic Violence (Available Online Only)
Elder Abuse Victims
- Help for Victims of Elder Abuse (Available Online Only)
Human Trafficking Victims
- Help for Victims of Human Trafficking (Available Online Only)
Information for Native American Victims
- Help for Native American Victims of Crime (Available Online Only)
Victims of Arson
- Are You a Victim of Arson Fire? (Available Online Only)
Relocation
- Information Sheet: Relocation, Housing and Shelter Resources for Victims of Domestic Violence and Other Violent Crimes (Available Online Only)
Victims of Hate Crime
- Arabic (Available Online Only)
- Farsi (Available Online Only)
- Gujarati (Available Online Only)
- Punjabi (Available Online Only)
- Spanish (Available Online Only)
- Urdu (Available Online Only)
CalVCP Forms
General
- Relative Caregiver Affidavit (Available Online Only)
- CalVCP Late Filing Consideration Form (Available Online Only)
Attorney Forms
- Attorney Fee Service Form (Available Online Only)
Provider Treatment and Billing Forms
Victim service providers only: In order to request the status of applications or bills that have been submitted to the CalVCP, please use either the online Application/Bill Status Request Form or the fax the printable form. Faxed requests should be sent to 916.491.6459.
- Provider Application/Bill Status Request Form (Online)
Provider Application/Bill Status Request Form (Downloadable) (Available Online Only) - Treatment Plan This form can be filled out on-line and printed (Available Online Only)
- Additional Treatment Plan (Available Online Only)
- CMS 1500 Form (Available Online Only)
- CMS 1500 Sample with instructions (Available Online Only)
- CMS (HCFA) Form 1500 Questions and Answers (Available Online Only)
- CMS 1450 Form (Available Online Only)
- CMS 1450 Sample with instructions (Available Online Only)
- ADA Claim Form This form can be filled out on-line and printed (Available Online Only)
- ADA Claim Form Sample (Available Online Only)
Relocation Benefit Forms
- Relocation Packet Instructions (Available Online Only)
- Law Enforcement Relocation Benefit Verification (Available Online Only)
- Mental Health Provider Relocation Benefit Verification (Available Online Only)
- Relocation Estimate/Worksheet This form can be filled out on-line and printed (Available Online Only)
- W9 Form (Available Online Only)
- Rental Agreement (Available Online Only)
Related Information Sheet: Relocation, Housing and Shelter Resources for Victims of Domestic Violence and Other Violent Crimes(Available Online Only)
Outreach Materials
- Flier - Crime Hurts Everyone, We Can Help (En Español) (Available Online Only)
- Victim Compensation Program Law Enforcement Presentation (Available Online Only)
Statistical Data
Victim Compensation Connection Newsletter
Other Publications
Victim Advocates
- Desk Manual for Victim Advocates (Available Online Only)
Restitution
- California Judges Benchguide
- Quick Reference Sheets on Fines and Orders for Adult Offenders and Juvenile Offenders
Mental Health Care for Child Crime Victims: Standards of Care Task Force Guidelines (2001)
Publisher: California Victim Compensation and Government Claims Board (CVCGCB), Victim Compensation Program
Task Force Chairperson: David Chadwick, M.D., Assistant Task Force Chairperson: Michele Winterstein, Ph.D.This 300-page volume is the result of the efforts of a group of mental health providers and organization representatives who specialize in the treatment of child trauma victims in the State of California. The goal of this group was to produce a set of guidelines that reflect a consensus of the most effective practices for remediating the effects of emotional trauma in child victims of crime. The task force was convened by the CVCGCB; the work of the task force was to address the needs of all victims of child maltreatment.
Victim Witness Centers