Apply for Crime Victim Compensation

If you need emergency assistance with food, clothing or shelter call the United Way at 2-1-1

Send your application as soon as possible.  Do not wait until court is over or until treatment is completed.

 

On a Computer

 

  • Open the Crime Victim Compensation Application
  • Enter your information
  • Print the completed application
  • Sign and date your application

-OR-

 

  • Click the link below to complete your application and submit it securely online without needing to print or mail your application
  • Online Crime Victim Compensation Application  Note: The Online Crime Victim Compensation Application is currently disabled. Please use this link to access a fill-in form that you can complete, print and mail to the Crime Victim Compensation program.  You may fax the completed application to 608-264-6368. If you prefer that we mail an application form to you, or for any assistance, please call our office toll-free at 1-800-446-6564.  We apologize for this inconvenience.

 

By Hand

 

  • Open the Crime Victim Compensation Application and print it
  • Use a pen to complete the application
  • Sign and date your application

 

Mail your completed application.  Enclose copies of crime-related medical bills received so far and send copies of any other bills as you get them.

 

Crime Victim Compensation

PO Box 7951

Madison, WI  53707-7951

 

Once your application is received, a specialist will be assigned to your claim. Request for additional information such as employment or medical records may be made.

 

 

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

 

Eligibility of all applications and payments is subject to Wisconsin law and review by the Crime Victim Compensation Program.