SD Crime  Victims' Compensation
Assistance for Crime Victims

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Applying for Crime Victims' Compensation If you or a family member has suffered personal injury as a result of a violent crime, trying to stop a person committing a crime, trying to help a law enforcement officer, trying to help a victim of a crime or, witnessing a violent crime, you can complete the following form to file a claim for compensation from the South Dakota Crime Victims' Compensation Program. Please follow all directions when filling out the application. Provide as much information as you can regarding the crime and the crime-related expenses for which you are seeking assistance. You need to complete the W9 form only if you are seeking reimbursement for amounts that you have paid or for lost wages.  You will need Acrobat Reader 5.0.5 to access this form. If you need to install this software on your computer, click here. This is a free download.   To complete this form on your computer and print it for mailing,      click here.   If you prefer to print this form to complete by hand, click here. If you need assistance completing the application, call 1-800-696-9476 (in state only) or 605-773-6317. Once you have completed and signed the application in the presence of a witness, send it to: Crime Victims' Compensation Program Department of Social Services Office of Adult Services & Aging 700 Governors Drive Pierre, SD 57501-2291 If you have problems printing this form, click here to request that a form be mailed to you.