Notarized Authorization Form

The Notarized Authorization is essential to the claims process. Without a properly notarized authorization, the Virginia Victims Fund cannot begin to process a victim’s Claim Form for benefits. The Notarized Authorization allows VVF to collect documents on the victim’s behalf to help satisfy claim requirements. It also includes an acknowledgement of the terms of use, including an agreement for VVF to pay providers on the victim’s behalf, an acknowledgement that the victim will receive benefits from the fund in place of direct restitution payments from the offender, and an acknowledgement that if the victim receives benefits for expenses that VVF has paid from any other source, they must immediately repay the award. An oath that the information included in the Claim Form is correct and truthful is also included.