Criminal injuries compensation authority

We have three core application forms and four extra forms covering, for example, if you are applying on behalf of a child or telling us you want to claim for loss of earnings. Follow the three stages below, and only fill in those forms that describe your situation.

You will probably need to print out around 10 pages of A4 paper to complete your application. If you prefer, call our freephone number 0800 358 3601* and we will send you the relevant form(s).

*Calls are free from landlines in the UK but there may be a charge if you ring from outside the UK or on a mobile phone. All calls are monitored for training purposes.

Stage 1

Decide which core form you need: (If you are applying on behalf of someone else, fill in the form that applies to them)

I was injured because of a single violent crime
I was injured following a period of abuse
A loved one was killed because of a violent crime

Stage 2

Decide if you need any other forms:

I am claiming for loss of earnings or special expenses
I am applying on behalf of someone under 18
I am applying on behalf of an adult who is legally defined as incapable of managing their own affairs
I am applying as a representative (e.g. solicitor)

Stage 3

Print your forms, fill them in and post them to us at the address given at the top of the core form. If you fold the forms in half, they will fit in an A5 envelope and this will be cheaper to post.