Apply for Crime Victim Compensation

Complete your application as soon as possible!  Do not wait until court is over or until treatment is completed. Due to the high volume of claims received, a specialist will be assigned to review your claim for eligibility approximately four months following receipt of your application. No bills will be paid by this program until eligibility is determined. It is strongly encouraged that you arrange payment plans with any vendors for outstanding bills to avoid collections. 



Fillable PDF application:

  • Please usethis link to access a fillable application to download to your computer, complete and digitally sign. 
  • NOTE: You must download the document, save it to your computer, and open it in Adobe in order to activate the digital signature field
  • Enter your information into the application (you can save your document as you go)
  • Digitally sign and then date your application (you must have the document open in Adobe to activate the digital signature line)
  • Save the application on your computer and email it to

Hand-written application


Wisconsin Crime Victim Compensation Program

PO Box 7951

Madison, WI  53707-7951

Fax (608) 264-6368 



Fillable and Printable Crime Victim Compensation Forms:


For assistance with your application call (800) 446-6564 or email