   
NEW HAMPSHIRE
VICTIMS' ASSISTANCE COMMISSION
The New Hampshire Victims' Assistance Commission
Department of Justice
33 Capitol Street
Concord, NH 03301-6397
TOLL FREE: 1-800-300-4500 (in NH only) or (603) 271-1284
TDD Access Relay NH 1-800-735-2964
Any person who
sustains physical and/or mental injuries as a result of
a felony crime that occurred in NH on or after 11/2/89
or a misdemeanor crime that occurred in NH on or after
7/1/97 is eligible for compensation from the NH Victims’
Assistance Commission. Also, any person who sustains
personal injury as a result of persons driving under the
influence of alcohol or controlled substances in NH on
or after 11/2/89. You may be eligible for compensation
if:
·
The
crime resulted in personal injury or death;
·
You or
your loved one did not contribute in any way to the
personal injury or death;
·
You
must not have been assisting in or committing a criminal
act causing your injuries;
·
Your
out-of-pocket loss or liability exceeds $100.00;
·
The
crime occurred in New Hampshire on or after 11/02/89
(except in certain cases involving children)
·
The
crime was reported to law enforcement within 5 days of
the incident (except in special circumstances);
·
You
cooperate with reasonable requests of law enforcement
officers and prosecutors in their investigation; or
·
A claim
for compensation was filed within one year, unless
circumstances beyond your control kept you from doing
so.
As a victim or
survivor of a violent crime in New Hampshire, you may
apply for compensation from the New Hampshire Victims'
Assistance Commission. You can request up to $10,000 in
compensation for crime-related hospital/medical
expenses, funeral expenses, loss of wages or other out
of pocket expenses. You may also be eligible for as much
as to $2,000 in mental health therapy costs. In order to
qualify there must be no other form of third party
payment (e.g., life insurance or medical insurance).
Property losses or pain and suffering are not covered.
The program can help with the following type of
crime-related expenses or lost wages:
·
Medical
and dental care needed for crime-related injuries;
·
Crime-related mental health counseling with a licensed
therapist;
·
Relocation costs not to exceed $4,000.00;
·
Costs
associated with securing and cleaning a crime scene;
·
Reimbursement for replacement of clothing or bedding
held for evidence purposes;
·
Emergency funds for sexual assault victims available
through your local crisis center;
·
Up to
10 days of emergency funds available through your local
crisis center for domestic and sexual violence victims;
·
Medication and medication management;
·
Mileage
to and from licensed health care providers; or
·
Other
reasonable crime-related out-of-pocket expenses.
For further
information, or to obtain an application, contact the
New Hampshire Victim's Assistance Commission at the
Department of Justice (1-800-300-4500 or 603-271-1284).
You may also access a downloadable version of the claim
form at
http://doj.nh.gov/victim/docs/doj12form.pdf.
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