Lenawee County, MI · Lenawee County
Crime Victim Compensation Application (Arabic)
This Arabic-language application lets crime victims or eligible representatives request compensation for losses related to a crime.
At a glance
- Issued by
- City of Lenawee County · Lenawee County, Lenawee County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- lenawee.mi.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The application requests crime and victim details, information about the applicant and any court proceedings, and the types of compensation sought. It also asks about income, insurance, and other available resources, with supporting records requested for some claims. The form directs applicants to send the completed application to the Crime Victim Services Commission.
Who needs it
Crime victims, or eligible relatives or representatives applying for a victim, can use this form to request compensation for listed losses.
How to submit it
Complete the application and mail it to the Crime Victim Services Commission, Michigan Department of Community Health, 320 S. Walnut Street, Lansing, MI 48913.
About notarization
This application is signed and dated without a notary; it requests supporting records and includes a declaration under penalty of perjury, but identifies no notarized attachment.
How to submit this form
- 1
Download the Application
Download the Arabic Crime Victim Compensation Application.
- 2
Complete the Application
Provide the requested information about the victim, applicant, crime, losses, income, insurance, and other resources.
- 3
Gather Supporting Records
Include applicable records requested by the form, such as a police report, receipts, or other supporting documents.
- 4
Sign and Mail the Application
Sign and date the application, then mail it to the Crime Victim Services Commission at the address listed on the form.
Frequently asked questions
- What does the Crime Victim Compensation Application request?
- It asks about the victim, applicant, crime, court proceedings, requested compensation, income, insurance, and other resources. Supporting records may be needed for some claims.
- Who can complete this application?
- The form is for crime victims and provides sections for a qualifying relative or representative applying for a victim, including certain survivors or guardians.
- Do I need a notary for the Crime Victim Compensation Application?
- No. Sign and date the application without a notary. It includes a declaration under penalty of perjury and requests supporting records, but identifies no notarized attachment.
- How do I submit the Crime Victim Compensation Application?
- Mail the completed application to the Crime Victim Services Commission, Michigan Department of Community Health, 320 S. Walnut Street, Lansing, MI 48913.