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Please read all instructions before completing the Provider Change Form. Victims and claimants who meet eligibility requirements may be reimbursed for medical expenses, loss of wages, and other unforeseen costs related to the crime.Provider Accounts Change Form For Crime Victims Compensation Form. This is a Washington form and can be use in Crime Victims Compensation Workers Comp. OVC, a part of the U.S. Department of Justice, oversees programs and grants for service providers and other professionals who assist victims of crime. You can apply as a victim or a claimant for either compensation using the same application. You must be 18 years of age or older to apply to CVC. The Crime Victims' Compensation (CVC) Program helps crime victims and their immediate families with the financial costs of crime. Once the organization application is approved, the account manager will receive an email with instructions and a link to complete account setup. If you need help completing this application or would like referrals for services, contact the.