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PDF Forms Archive - California Victim Compensation Board

PDF Forms Archive - California Victim Compensation Board 2025

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The document is a Law Enforcement Relocation Verification Form used by the California Victim Compensation Board (CalVCB) to assess threats to the personal safety of crime victims seeking relocation benefits. It requires law enforcement to provide details about the victim, the crime, any ongoing threats or retaliation, and whether a restraining order has been obtained. The form must be completed by law enforcement and can include additional reports if applicable.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Victim Information' section. Enter the victim's name, phone number, address, city, state, and zip code accurately.
Proceed to the 'Crime Information' section. Input the crime date, crime code, and crime report number. Indicate whether relocation was necessary for personal safety by selecting 'Yes', 'No', or 'Not enough information to determine'.
If relocation is necessary, provide a brief description of the threat to the victim’s personal safety. Answer questions regarding the perpetrator's incarceration status and ongoing threats.
Complete the 'Law Enforcement Information' section with details about the investigating officer or detective, including their badge number, title, agency name, email address, and contact phone number.
Finally, ensure all required fields are filled out before saving your document. If needed, attach any supplemental reports as indicated.

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