VVF Claim Form

Fax or mail to:
Virginia Victims Fund
P.O. Box 26927
Richmond, VA 23261
Fax: 804-823-6905

1. Please fill out each section of the application.
2. If the victim is a minor or incapacitated adult, a parent or guardian may apply on their behalf.
3. If victims are 18 years or older, and not incapacitated, they must sign their own application, even if they were a minor at the time of the crime.
4. Hospitals, physicians and other medical providers may not submit applications on behalf of victims.
5. Consider working with your local Victim/Witness Advocate Program which can file applications electronically and may be able to provide additional resources.

Please include any bills, receipts, invoices, and insurance documentation with the application.