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Idaho Sexual Assault Examination Program Reimbursement Form

State:
Idaho
Control #:
ID-SKU-851
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Sexual Assault Examination Program Reimbursement Form

The Idaho Sexual Assault Examination Program Reimbursement Form is used to help reimburse medical and counseling costs for victims of sexual assault. The form is available through the Idaho Department of Health and Welfare and is designed to help victims of sexual assault access the medical and counseling services they may need in the wake of an assault. There are three types of forms available: the Idaho Sexual Assault Examination Program Reimbursement Form (for medical and counseling costs), the Idaho Sexual Assault Examination Program Reimbursement Form for Children, and the Idaho Sexual Assault Examination Program Reimbursement Form for Survivors of Human Trafficking. All forms require proof of identity and documentation of the assault in order to be processed.

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FAQ

The Idaho CVCP was established in 1986 to provide assistance to victims of crime for costs related to treatment for injuries sustained as a result of a crime and for sexual assault forensic examinations.

Restitution is reimbursement ordered in the defendant's criminal case, and is to be paid by the defendant. It covers the value of something stolen, damaged or lost as a result of the defendant's crime. It can include property, lost wages, medical bills and counseling costs, among other things.

Claims may be approved for benefits up to a total of $50,000. In the case of extraordinary pecuniary losses resulting in a total and permanent disability, victims may be eligible for an additional $75,000 in benefits. Reimbursement for property damage or theft is not an eligible expense.

VOCA Victim Compensation formula grants provide funding to supplement state compensation programs that provide financial assistance and reimbursement to victims for crime-related out-of-pocket expenses.

Crime Victim Compensation (?CVC?) is an Idaho state reimbursement program that provides life-long benefits (up to $25,000) to eligible crime victims. The program is funded through a federal grant and fines imposed on perpetrators of crimes.

Compensation is defined as payment by the State to the victim of a crime or to his dependents to make up for the loss incurred.

More info

Reimbursement for the forensic and medical costs of sexual assault exams is available through the Crime Victims' Compensation (CVC) Program. All exams must be conducted using the Ohio Sexual Assault Protocol for Sexual Assault Forensic.Sexual Assault Counseling Claim Form. Please complete form and mail, email or fax to: Victims Compensation Assistance Program (VCAP). Forensic Rape Examination Claim Form. SAFE Payment Program. Ix) Each itemized bill or statement must include a copy of the completed Sexual Assault. Please also complete the checklist of services, see Section 5. Examiner (SANE) program, child advocacy center, or rape crisis center. It is the responsibility of the health care provider to request reimbursement from the SAFE Fund.

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Idaho Sexual Assault Examination Program Reimbursement Form