Crime Victims Reparations Forms and Applications

Sexual Assault Victims Forms

Sexual Assault Victims – Application
Sexual Assault Victims – Claim Investigator Review Form
Sexual Assault Victims – Medical Expense Claim Form
Sexual Assault Victims – Medical Expense Claim Form Overflow
Sexual Assault Victims – Mental Health Claim Forms

Forensic Medical Examinations

Under Louisiana law, a victim cannot be billed directly or indirectly for a forensic medical exam. A healthcare provider or healthcare facility seeking reimbursement for the exam must submit a request to our program. The required forms and information regarding the reimbursement process can be found in the link below.

Forensic Medical Exam Reimbursement Information and Forms

Victims of Other Crimes

CVR Application

 Medical Expense Claim Forms
Medical Expense Claim Forms – Overflow
Funeral Claim Forms
Relocation Expense Application Forms
Provider Certification Forms
Mental Health Claim Forms
Lost Wages Claim Forms
Loss of Support Claim Forms
Child Care Expense Forms
Catastrophic Property Loss Forms
Crime Scene Expense Forms
Crime Scene Evidence Expense Claim Forms

CVR Annual Reports

CVR 2022 Annual Report
CVR 2021 Annual Report
CVR 2020 Annual Report
CVR 2019 Annual Report
CVR 2018 Annual Report
CVR 2017 Annual Report
CVR 2016 Annual Report
CVR 2015 Annual Report
CVR 2014 Annual Report
CVR 2013 Annual Report
CVR 2012 Annual Report
CVR 2011 Annual Report
CVR 2010 Annual Report
CVR 2009 Annual Report
CVR 2008 Annual Report
CVR 2007 Annual Report
CVR 2006 Annual Report

Other

CVR Administrative Rules (May 2023)