Printable Crime Victim Compensation Applications

The following are printable applications for crime victims.  If you have any questions, refer to the Frequently Asked Questions at the link below.  

• Primary Victim Application (English) (.pdf)
   
• Primary Victim Application (Spanish) (.pdf)

• Homicide Survivor Application (English) (.pdf)

• Secondary Victim Application (English) (.pdf)

For Help

• Complete an application, sign all three releases, and return it to the Crime Victim Compensation Program.
• After reviewing the application, we may request additional information.
• You do not need a lawyer to receive program benefits.
• For frequently-asked questions (FAQs), click here.

Contact Information

Office of the Attorney General of Iowa
Crime Victim Assistance Division
Lucas State Office Building
321 East 12th Street
Des Moines, IA 50319

Phone: 515-281-5044
Toll-Free: 800-373-5044
FAX: 515-281-8199

Email: Victim Advocate Lizzie Martin