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. In the optional VICTIM STATISTICAL INFORMATION section, provide details such as race/ethnicity and whether the victim has a disability. This information can help tailor support services.
4. Proceed to SECTION 2: CLAIMANT INFORMATION. Enter the claimant's relationship to the victim and their personal details including full name and contact information.
5. Next, complete SECTION 3: CRIME INFORMATION by detailing the crime specifics including date reported to authorities and police department involved.
6. In SECTION 4: REQUESTED EXPENSES, check all applicable types of financial assistance you are seeking and provide any necessary documentation.
7. Finally, review SECTION 6: AUTHORIZATIONS AND AGREEMENTS. Ensure all required signatures are provided before submitting your application.

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