CRIME VICTIM ASSISTANCE PROGRAM: Fill out & sign online

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Click ‘Get Form’ to open the CRIME VICTIM ASSISTANCE PROGRAM application in our editor.
Begin with Section 1, where you will provide your personal information. Ensure that all fields are filled accurately, including your name, contact details, and social insurance number.
In Section 2, describe the crime that occurred. Specify the type of crime and provide dates if applicable. This section is crucial for determining eligibility.
Proceed to Section 3 to detail any medical or dental treatment received due to the crime. Include names of healthcare providers and treatment dates.
In Section 4, list all expenses related to the crime. Be thorough and check all applicable boxes for medical, dental, or other expenses incurred.
Complete Sections 6 through 8 by providing necessary declarations and authorizations. Remember to sign and date these sections as incomplete applications may be returned.
Finally, review your application for completeness before submitting it via mail as instructed in the guide.

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