CVC Downloads

Forms and Applications

CVC 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
Crime Scene Expense Forms
Crime Scene Evidence Expense Claim Forms

Please contact the claims investigator assigned to the parish where the crime occurred. They will assist you throughout the application process and help address any questions or concerns you may have.

You can find the contact information for your claims investigator by visiting this link: https://lcle.la.gov/programs/cvr/cvr-resources/

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

Other

CVR Administrative Rules (February 2025)

Crime Victims’ Compensation Forms and Applications

Forms and Applications

Forensic Medical Examinations

CVR Annual Reports

Other