You may fill out the Application on-line, then print it on your printer and send it to the address below.
Victim Services Compensation Application Instructions
Victim Services Compensation Application Form
Please note: You will need to have Adobe Acrobat Reader software installed on your computer. If you do not have Acrobat Reader, you can get a free copy by clicking on the Acrobat Reader icon below and following the instructions.
Acrobat
Reader v8.0 (22.8MB file)When you have printed the form and signed it, please send it to the address below:
Division of Victim Services
122 W. 25th
Herschler Bdlg. 1st Floor West
Cheyenne, WY 82002
Other Crime Victims Compensations Links: