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OX IS TO BE COMPLETED BY THE SHERIFF S CLAIM INVESTIGATOR Date Application Received: CVR #: In order for your application to be processed, you must complete all information on this application. PLEASE PRINT! You have one year from the date of the crime to file this application. If you are filing later than one year, you must attach a letter of explanation. Please remember, the Crime Victims Reparations Board is NOT responsible for your bills. You do not need an attorney to complete this form.

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