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Mail completed forms to: Department of Labor and Industries. Crime Victims Compensation Program.Download Crime Victims Statement for Pharmacy Services (F800-058-000) – Department of Labor and Industries (Washington) form. On behalf of the dedicated staff at The Office of the Victim Advocate. As you consider how the crime has changed your life, you may use the following questions to guide you. Pennsylvania Victims Compensation Assistance Program. Victims of violent crime can apply for assistance, supports and services to help with emergency expenses and their recovery. It provides financial benefits to help offset financial losses and assist in recovery. Fostering pharmaceutical services aimed at drug-use control and rational drug therapy. §483.30 Physician Services. §483.