Co wright mn usDocumentCenterViewMINNESOTA CRIME VICTIMS REPARATIONS CLAIM FORM 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with SECTION 1, providing the victim's information. Fill in their name, date of birth, and social security number clearly.
3. Move to SECTION 2 for claimant information. If you are not the victim, complete this section with your details as a parent or guardian.
4. In SECTION 4, detail the crime information including the date of the crime and police case number. Be thorough in describing the incident.
5. Complete SECTION 10 for medical and dental expenses by listing healthcare providers and attaching any available bills or receipts.
6. Ensure all required signatures are provided in SECTION 18 before submitting your application via mail, fax, or email.

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