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Autumn in Kentucky

CVC Application Information

Compensation Claim Application
  • Please read the Claim Application Instructions at the beginning of the application before completing: KCC CVC Application Form. 
  • The claim application information must be entered with black or blue ink, or typed.
  • Enter all requested information for each section.
  • If you need assistance in filling out the claim application, contact the Kentucky Claims Commission - Crime Victims Compensation office at 800-469-2120 or 502-573-2290.