Up to $7,500 may be reimbursed for expenses related to the funeral, cremation, or burial of a deceased victim.
Future Economic Loss
Needed services that cannot be obtained without prior approval of the victim's compensation claim or payment in advance from the victim. To submit a request for future economic loss, include an itemized list of the expenses you expect to incur, along with an explanation regarding the expense. If the expense is for dental work or surgery necessary to repair damage from the criminal incident, ask the attending physician to write an accurate estimate which clearly states the work to be performed and the cost. The attending physician should relate, in writing, the need for medical treatment due to injuries sustained during the crime.
Traditional American Indian Services
In addition to expenses listed throughout the instructions, the following expenses may also be considered for reimbursement in traditional healing or burial ceremonies for American Indian victims of crime and family members of American Indian homicide victims: 1) traditional native counseling and healing from an elder or spiritual healer, minister, pastor, or faith-based counselor; 2) sweat lodge and smudging ceremonies; 3) ceremonial burials, including clothing for the deceased, meals/food baskets and other expenses related to the traditional giveaway or gifting practices of the Tribe; 4) child care during burial ceremony; 5) reimbursement of gifts to individuals for the performance of service (i.e. quilts, cooking, etc.). In order for reimbursement of these expenses, receipts must be provided with the item's purpose clearly noted on the receipt. The maximum allowable for burial-related expenses, including gifting, is $7,500. The maximum allowable for healing services is $3,000 for the injured victim. The maximum for healing services for each family member after a homicide is also $3,000. The maximum award for all services compensated through the Crime Victims Compensation Program may not exceed $20,000. If requesting reimbursement for healing or burial ceremonies, please also complete the "Request for Traditional American Indian Services" form.
Loss of income from work the victim would have performed if he/she had not been injured. Work loss must be verified by the employer and the attending physician. Caregiver work loss can be awarded up to $2,000 if the work loss is verified by the victim's physician and an employer's certificate from the caregiver's employer is filed. Caregiver work loss may only be awarded to persons who have non-reimbursed wage loss due to caring for an injured victim of crime.
Loss of Support
In the event of the death of a victim, the Board may consider providing reimbursement for loss of support to a dependent based on the victim's net income at the time of death, less any collateral sources such as: Life insurance (over $50,000), Social Security, Worker' Compensation, uninsured motorist coverage, or 3rd party reimbursements. Monthly installments or a lump sum award is at the discretion of the Board.
Medical & Dental
Includes products, services, and accommodations for medical care (Examples: doctor exams, dental work, hospital treatment, hospital stay, artificial limbs, prescriptions, and eye glasses). Medical-related fees will be paid up to 80% of the maximum allowance.
Rehabilitation - Includes such things as physical and psychological therapy, rehabilitative occupational training, and other remedial treatment and care.
Counseling for Victims
There are no fee schedule limitations. The maximum compensable amount for the victim's counseling is $3,000. This limit may be waived by the Board in extenuating circumstances. Although the Board no longer has a fee schedule for counseling, victims are advised to seek treatment from a licensed mental health professional.
Crisis counseling that is initiated within three years of the crime is compensable, up to $3,000 for each family member of a homicide victim, provided the counselor is a qualified mental health care provider. Medical and pharmaceutical treatment for a family member of a homicide victim is not compensable.
Crime Scene Cleanup
Crime scene cleanup can be covered up to $2,000.
Expenses reasonably incurred in obtaining ordinary and necessary services in place of those the victim would have performed for the benefit of self or family, if the victim had not been injured.
Important: Pain and suffering and personal property are not allowable expenses under the Crime Victims Compensation Act.