Get Ct Jd-vs-35 2018-2026

Filling out the CT JD-VS-35 form online is an essential step in assisting eligible crime victims in the state of Connecticut. This guide will provide you with clear instructions on how to complete each section of the form accurately and efficiently.

Follow the steps to complete the CT JD-VS-35 form online

1. Click the ‘Get Form’ button to obtain the CT JD-VS-35 form and open it in your preferred editing tool.
2. Provide the date of birth of the victim in the format mm/dd/yyyy. Ensure that the information is accurate to avoid delays in processing.
3. Input the full name of the victim, including first, middle, and last names.
4. Enter the claim number related to the case, if applicable.
5. Fill in the name of the claimant or the person filing on behalf of the claimant.
6. Indicate the name of the claims examiner handling the case.
7. Answer the question regarding whether the victim disclosed their status as a crime victim in Connecticut. Select 'Yes' and proceed to question 2 or 'No' and skip to question 7 based on your response.
8. If applicable, check the type of crime that occurred (e.g., sexual assault, domestic violence, etc.). You may check more than one box.
9. Indicate if the victim suffered any physical injuries by selecting 'Yes', 'No', or 'Don't know'.
10. Indicate if the victim experienced emotional injury from a threat of physical injury or death and received treatment by selecting the appropriate option.
11. Provide a detailed description of the incident and any physical or emotional injuries suffered by the victim.
12. Enter the date of the incident and the date the incident was disclosed to you. Also, provide the city or town where the incident occurred.
13. Select your profession from the provided list to ensure eligibility for victim compensation, as there are specific reporting guidelines for various professionals.
14. Complete the rest of the form by entering your name (print first, middle, last), provider license number (if applicable), agency name, agency address, and contact telephone number.
15. Sign the form to authenticate the information provided and enter the date of completion.
16. Before finalizing, review all the details entered for accuracy. You can now save any changes made, download, print, or share the completed form.

Complete your CT JD-VS-35 form online effortlessly and ensure victims receive the support they need.