Official Government Website

Forms

 Signed applications can be submitted via mail, fax (208-332-7559) or email to cv.admin@iic.idaho.gov.

Victim Forms

W-9
Crime Victims Application
Sexual Assault Examination Reimbursement
Crime Victims Family Assistance Application
  • If interested in getting a Family Assistance application, please call 208-334-6080.

Provider Forms

W-9
Initial Treatment Plan
Mental Health Claim Forms

 

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