Applications are also available from the 21 county prosecutors' offices through their respective Victim/Witness Coordinator. The Coordinators will assist crime victims in filling out the form.

You can also get an application from the VCCA. Please call 973-648-2107 or 877-NJ-VCCA1 (877-658-2221) for assistance.

There is available on this site a VCCA Application. (for print purposes only PDF 25K*) To obtain benefits, you must file a completed claim form and comply with Board regulations which are explained in the instructions. You will be asked to submit information to support your application. Where possible and to speed up processing, it would be helpful to submit a copy of a police report and related bills, receipts and insurance statements together with the application. Please send copies only and keep the originals for your own records.

*The VCCA Application form is stored in Adobe Acrobat (PDF) format. PDF formatted documents appear the same as the original printed forms. To view and print these forms, you must have a PDF viewer which is available free from Adobe. Click here to learn more about Adobe Acrobat or to download the latest version of the Adobe Acrobat viewer from the Adobe Web site.