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Note: If you decide to file a civil suit, by law, you are required to notify CalVCP within 30 days of filing the action.

I have filed, or I plan to file, a civil suit related to this crime

Attorney's First Name

Middle Name

Last Name

Telephone

Mailing Address

Address 2

City

State

Zip

After entering all available information, print the application.

Please read the next page carefully, sign and date, and send to the address indicated or deliver to your local Victim Witness Assistance Center.

For any questions about victim compensation, you can contact your local Victim Witness Assistance Center or call CalVCP at 1-800-777-9229.

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Brother's Death