Cicb application 2026

1. Click ‘Get Form’ to open the cicb application in the editor.
2. Begin with SECTION 1: VICTIM INFORMATION. Fill in the victim’s full name, gender, social security number, date of birth, primary language, marital status, safe telephone number, current address, email address, and county.
3. Proceed to the optional VICTIM STATISTICAL INFORMATION section. Here you can provide details about race/ethnicity and disability status if applicable.
4. Move on to SECTION 2: CLAIMANT INFORMATION. Enter the claimant's relationship to the victim and their personal details including full name and contact information.
5. In SECTION 3: CRIME INFORMATION, document the crime details such as date reported to authorities and police department information.
6. Complete SECTION 4: REQUESTED EXPENSES by checking all applicable types of financial assistance needed.
7. Fill out SECTION 5: FINANCIAL BENEFITS INFORMATION by indicating any existing financial benefits related to the crime.
8. Finally, review and sign SECTION 6: AUTHORIZATIONS AND AGREEMENTS before submitting your application.

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