- Mental Health Service Report (fill-in form for service providers)
- Mental Health Service Report (non fill-in form to print - for service providers)
- Employer's Certificate (Word)
- Funeral Director's Report (Word)
- Physicians Report (to be completed by attending physician)
- Law Enforcement Victims Rights Notification Pamphlet (eff. 2019)
- Sexual Assault Examination Fund Application (Effective February 01, 2025)
Forms and Publications
Forms and Publications.
- 2019 Victims Compensation Annual Report Final
- Victim Witness Coordinator List (January 2019)
- Additional Consideration Transmittal Form (Word fill-in form)
- Appeal Transmittal Form (Word fill-in form)
- Claim Summary Template (Word fill-in form)
- Collateral Source Information Form (Word fill-in form)
- Continued Claim Transmittal Form (Word fill-in form)
- Eligibility Transmittal Form (Word fill-in form)
- Employer's Certificate (Word)
- Funeral Director's Report (Word)
- Mental Health Service Report (fill-in form for service providers)
- Law Enforcement Certificate
- Native American Traditional Services Guidelines
- Request for Traditional American Indian Services Form
- Physicians Report (to be completed by attending physician)
- Request for Restitution Form
- Sexual Assault Examination Fund Application (4/1/2010)
- Victim Notification Request Form
- Victim Impact Statement
Contact Information:
Oklahoma District Attorneys Council
Oklahoma Crime Victims Compensation Board
421 NW 13th, Suite 290
Oklahoma City, OK 73103
405-264-5006
Toll-Free 1-800-745-6098
E-mail: victimsservices@dac.state.ok.us
Last Modified on
Feb 06, 2025
