Pccd Victims Compensation Assistance Program Short Form
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4Pennsylvania Commission on Crime and Delinquency
Office of Victims’ Services
Victims Compensation Assistance Program
Mailing Address:
Street Address:
Phone and Fax Numbers:
P .O. Box 1167
3101 North Front St.
(800) 233-2339
Harrisburg, PA 17108-1167
Harrisburg, PA 17110
(717) 783-5153
(717) 787-4306 (FAX)
Website:
PCCD Victims Compensation Assistance Program Short Form
Please read the following before completing this form.
You may be eligible for compensation if:
The crime occurred in Pennsylvania.
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The crime was reported to the proper authorities within 3 days OR a Protection
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From Abuse order was filed within 3 days of the crime.
You cooperate with the law enforcement authorities investigating the crime, the courts,
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and the Victims Compensation Assistance Program in processing the claim.
The claim is filed within 2 years after the discovery of the crime (there are exceptions
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when the victim is a child).
You have paid or owe at least $100 of any combination of the expenses listed below.
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If you are age 60 or over, there is no minimum loss requirement.
You may be awarded compensation for:
Medical Expenses
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Counseling Expenses
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Loss of Earnings
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Loss of Support
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Stolen cash (If your main source of income is Social Security Retirement, Disability Income,
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Supplemental Income, Survivor Benefits, Retirement/Pension(s), Disability or Court-Ordered
Child/Spousal Support.)
Relocation Expenses
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Funeral Expenses
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Crime-Scene Cleanup
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Transportation Expenses
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Childcare
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Home Healthcare Expenses
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An overall maximum award shall not exceed $35,000, however, certain benefits, such as counseling and
crime-scene cleanup, are over and above the $35,000 maximum. Monetary limits apply to most benefits.
The Program does not cover:
Pain and suffering.
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Stolen or damaged property (except replacement of stolen or damaged medical equipment).
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A claim may be determined ineligible or an award may be reduced if the conduct of the victim
contributed to the injury.
800-233-2339
HELP FOR VICTIMS OF CRIME IN PENNSYLVANIA
800-233-2339
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