facility Section / WHERE IF NOT SAME AS EMERGENCY TREATMENT FACILITY / / /
IndustryTerm
prosthetic devices / law enforcement / telephone number changes / /
Organization
Social Security Administration / COURT OF CLAIMS CRIME VICTIMS COMPENSATION FUND APPLICATION Revised / West Virginia Court of Claims / Crime Victims Fund / VICTIMS COMPENSATION FUND / WHICH COURT / MEDICARE / CRIME VICTIMS COMPENSATION FUND / / /
Position
ATTORNEY / SIGNATURE TELEPHONE NUMBER ATTORNEY / NAME ADDRESS ATTORNEY / The Claim Investigator / Victim Assistance Coordinator / PRINT CLEARLY Judge / Claim Investigator / ADMINISTRATOR / Magistrate / physician / State Treasurer / ATTORNEY IS ATTORNEY / local prosecuting attorney / Judge / RECORD ATTORNEY / /
CRIME VICTIMS COMPENSATION FUND 1900 KANAWHA BLVD E RM W-334 CHARLESTON WV[removed]OFFICE OF THE COURT OF CLAIMS