Current through Reg. 50, No. 249, December 24, 2024
(1)
The victim/applicant has the ultimate responsibility to provide information and
documentation needed to support eligibility and benefit payments under this
rule. The victim/applicant must provide updated address and contact
information, which shall be considered the address of record. When an
incomplete application is received, the bureau will notify the victim/applicant
at their address of record, or their email address if provided (exception for
relocation benefit requests applies), of the information needed for eligibility
determination and benefits. Required documents include:
(a) Completed, signed, and dated application.
Failure to fully complete, sign, or date the application or provide the
requested documentation will cause delays and shall result in a denial of the
claim. The application must include the type of benefits requested and provide
all respective information required by the application form.
(b) Acceptable proof of crime from the proper
authorities or form BVC430 Law Enforcement Information Reporting Form (revised
10/20) adopted and incorporated by reference at Rule
2A-2.2001, F.A.C., documenting
that:
1. A compensable crime
occurred.
2. The victim did not
contribute to the infliction of his or her injury or death. Contributory
misconduct is based on information in writing from a proper authority that the
victim's conduct contributed to his or her injury or death. Penalty
assessments, if imposed, based on contribution will be applied only to payments
made directly to the victim or applicant at the rate of 25 percent of the
amount otherwise payable. A penalty assessment of more than 25 percent will
result in the denial of benefits.
3. The victim did not act unlawfully. An
establishment of unlawful activity is based on information in writing from a
proper authority indicating that the victim's conduct at the time of crime was
unlawful.
4. The crime was reported
to the proper authorities within the required timeframe in which the incident
was known to have occurred.
5. The
victim has cooperated with the investigation and prosecution of known
offenders.
6. Proof of third-party
payments such as insurance, restitution, judgments or settlements (e.g., copy
of insurance explanation of benefits, settlement agreements, court documents
for restitution and judgments), if applicable.
7. Written materials that substantiate
payment of the requested benefit type as described herein (includes proof of
crime-related expenses).
(2)
Victim Compensation
Benefits.
(a) Collateral sources must
be exhausted before any compensable benefit is determined payable, except loss
of support and catastrophic disability.
(b) Disability benefits.
1. Disability compensation is available to
eligible victims who suffered a permanent whole body disability pursuant to
Section 440.15(3)(b),
F.S., as a result of the crime.
a. The
disability assessment must be in accordance with the American Medical
Association's Guide to Evaluation of Permanent Impairment or the Florida
Permanent Impairment Rating Guide.
b. Verification that the victim has reached
maximum medical improvement, or that the percentage of disablity will not
change in lieu of maximum medical improvement, must be
received.
2. The
disability allowance is calculated at $250.00 per percentage point for
disability ratings of one through ten percent, and $500.00 per percentage point
for disability ratings of eleven percent and above, up to the maximum benefit
amount on the Schedule of Benefits.
3. Pre-existing disability is not
compensable.
4. The following is
needed to calculate crime-related disability benefits:
a. Form BVC409 Victim Compensation Treatment
Disability Statement (revised 10/20) adopted and incorporated herein by
reference,
https://www.flrules.org/Gateway/reference.asp?No=Ref-12724,
signed by the treating physician, dentist, psychiatrist, or
chiropractor.
b. If the
documentation specified above cannot be obtained, a signed and dated written
statement by the treating physician, dentist, psychiatrist, or chiropractor
which specifies all the information provided on form BVC409 Victim Compensation
Treatment Disability Statement shall be accepted.
(c) Wage loss benefits.
1. Wage loss compensation is available to
eligible victims:
a. Who missed time from work
because they were unable to work as a result of the physical injuries sustained
as a result of the crime; and
b.
The victim's parent or legal guardian when he or she misses time from work to
provide immediate medical care to the minor victim.
2. Lost wages are compensable within the
timeframes established and up to the percentage and maximum benefit amount on
the Schedule of Benefits, based on the victim/applicant's actual gross average
weekly wage or maximum gross average weekly wage provided by the Department of
Financial Services for Workers' Compensation Benefits. In no case may the wage
loss payment exceed the maximum gross average weekly wage ("GAWW") established
by the Department of Financial Services.
3. The victim or applicant must have been
gainfully employed or accruing reemployment assistance benefits at the time of
the crime.
4. The following is
needed to calculate crime-related wage loss benefits:
a. Form BVC405 Victim Compensation Wage Loss
Employment Report (revised 10/20) adopted and incorporated herein by reference,
https://www.flrules.org/Gateway/reference.asp?No=Ref-12725,
which must be signed by the employer's human resources director or other
authorized human resources supervisor, employee administrative services
supervisor, chief financial officer, chief executive officer, president, or
owner.
b. If the documentation
specified above cannot be obtained, the following documentation which specifies
all the information provided on form BVC405 Victim Compensation Wage Loss
Employment Report (revised 10/20) shall be accepted:
i. The victim/applicant's individual earnings
statement(s) showing loss of dates and income from work as a result of the
crime;
ii. Unemployment
compensation (reemployment assistance) benefits statement when the victim was
not employed at the time of the crime but was receiving unemployment
compensation (reemployment assistance) benefits, and because of the crime
injuries the victim is not able to work, or actively seek employment which
disqualifies them from procuring unemployment compensation benefits; or,
iii. Federal income tax for the
quarter or year preceding the date of the crime (if self-employed or working
for a family member).
c.
Form BVC409 Victim Compensation Treatment Disability Statement (revised 10/20)
adopted and incorporated by reference above, signed by the treating physician,
dentist, psychiatrist, or chiropractor.
d. If the documentation specified above
cannot be obtained, a signed and dated written statement by the treating
physician, dentist, psychiatrist, or chiropractor which specifies all the
information provided on form BVC409 Victim Compensation Treatment Disability
Statement (revised 10/20) adopted and incorporated by reference above, shall be
accepted.
(d)
Loss of support benefits.
1. Loss of support
compensation is available to the following eligible persons:
b. Dependent parent, sibling, and child(ren);
and
c. A person who was dependent
for his or her principal support on the deceased victim.
2. Loss of support compensation is available
to eligible dependents of a deceased victim or intervenor who was employed, was
receiving reemployment assistance, or had applied for and would have been
eligible for unemployment compensation benefits (reemployment assistance), at
the time of the crime.
3. Benefits
for loss of support are calculated by determining the earnings lost for a
period of three years. The gross average weekly wage is multiplied by 52 weeks
then multiplied by 3 years, to equal the total loss of support benefit up to
the maximum benefit amount on the Schedule of Benefits. 4. Acceptable
documentation for crime-related loss of support includes the following:
a. Income tax returns showing earnings for
one to three years preceding the date of the crime. If the claim will exhaust
the maximum allowable benefit using just the year prior to the date of the
crime, then only one year of tax documentation is necessary. If not, two or
three years of prior tax documents for the years preceding the date of the
crime are required to calcualte the gross average weekly wage.
b. Reemployment assistance statements may be
used in combination with tax documentation to calculate the gross average
weekly wage.
c. Alternatively, form
BVC405 Victim Compensation Wage Loss Employment Report (revised 10/20), which
is adopted and incorporated by reference above, may be submitted to document
earnings preceding the crime.
4. Proof of dependency is established based
on:
a. The deceased victim's federal income
tax return;
c. Birth or death
certificate;
d. Copy of approval
for Social Security Administration survivor benefits;
e. A court order for support; or
f. Documentation identifying joint expenses
exceeding the applicant's income and that the expenses had been paid by the
deceased. Acceptable documentation includes certified copies of financial
records, leases, mortgages or other forms of mutual indebtedness for a minimum
of one year preceding the occurrence of the
crime.
(e)
Itemized bills must be submitted before payment to a provider or reimbursement
to the victim/applicant can be considered pursuant to Sections
960.13,
960.197 and
960.28, F.S.
1. The itemized bill (invoice) should be
prepared using industry standard forms (e.g., CMS-1450, 1500, J400), or on the
provider's letterhead and must include the following information:
a. Service provider/facility's name, street
address, city, state and zip code, email address, and telephone number
(including area code);
b.
Organization/treatment facility's mailing address;
c. Federal tax identification
number;
d. Beginning and ending
date(s) of service;
e. Name and
address of individual being billed for services rendered;
f. Revenue code, description of service, CPT
or equivalent code, service date, service units, and total charges;
g. Diagnosis code, diagnosis, or nature of
injury; and,
h. First and last name
of attending medical professional and license number.
2. Out-of-pocket reimbursement to the
victim/applicant for qualified funeral/burial, mental health (includes grief
counseling), medical/dental expenses, and crime scene cleanup shall be
compensated at 100 percent, when services or treatment was rendered within the
timeframes established and up to the maximum benefit amount on the Schedule of
Benefits.
3. If the provider
rejects payment in full from the bureau, funds may be paid to the
victim/applicant, who is then responsible for the bill.
4. Costs for interpreter services for
eligible victims with (foreign) language barriers and/or hearing impairment
which allows victims to receive assistance in obtaining benefits and medical or
mental health treatment services. These costs are included in the respective
maximum benefit amounts and must be identified on an itemized bill. This does
not apply to interpreter costs incurred for court-related activities which are
not compensable.
5. If the offender
would be unjustly enriched, either directly or indirectly, no reimbursement is
compensable.
(f)
Funeral/burial expenses.
1. Funeral/burial
compensation is available to eligible applicants when services were directly
related to the crime and when such services were rendered by a qualified
person.
2. The applicant must be
identified on the funeral contract as the party who paid the funeral expenses
or the party responsible for the unpaid funeral expense.
3. Funeral/burial expenses are considered
expenses associated with the funeral, services that constitute a funeral,
transporting the deceased victim's remains, burying, entombing, internment,
cremation, procession, wake, or memorial ceremony held in honor or observation
of the deceased and any other expenses which are not otherwise listed but are
directly related to a funeral/memorial ceremony or the care of the decedent.
With exception to religious practices, food, beverages, bereavement travel, and
expenses associated with social events are not compensable.
(g) Mental health treatment (inpatient and
outpatient) expenses.
1. Treatment expenses
include any financial obligation or monetary outlay for crime-related mental
health or grief counseling services necessary as a result of the crime for
which the victim/applicant is responsible for payment. Treatment expenses are
compensable when the treatment is rendered by a person qualified to provide
mental health counseling pursuant to Chapter 458, 490 or 491, F.S.
2. Inpatient mental health care is limited to
acute, crisis stabilization up to seven days.
3. Minors who saw or heard the crime incident
and who suffered a psychological or psychiatric injury as a result of the
crime, but were not physically injured, may receive mental health care, when
the law enforcement report reflects that the minor was present at the crime
scene.
4. Minors younger than 18
years of age who were the victim of a felony or misdemeanor offense of child
abuse that resulted in a mental injury, as defined in Section
827.03, F.S., but who were not
physically injured, are eligible for mental health treatment
benefits.
5. Persons who suffered a
psychological or psychiatric injury as a direct result of a forcible felony may
receive mental health care, when the law enforcement report identifies the
individual as a victim of the crime. This is the only benefit available to
adult victims who did not suffer a physical injury or death.
6. A surviving spouse, parent, stepparent,
child or sibling of a deceased victim may receive mental health grief
counseling. When more than one applicant applies, each adult applicant shall be
eligible for benefits up to the maximum benefit amount on the Schedule of
Benefits.
7. When a minor receiving
mental health treatment care reaches the age of 18, the adult benefit maximum
amount applies. If that benefit amount has already been paid, no further mental
health or grief counseling benefits are available.
8. Reimbursement for transportation costs to
mental health treatment appointments requires the submission of an itemized
bill by the treating provider and a reasonable estimate of the mileage between
the victim/applicant's residence. Rental car charges may be compensable for
travel to another city for mental health treatment. A traveler who uses an
indirect route for personal convenience must bear any extra costs;
reimbursement for expenses shall be based only on such charges as would have
been incurred by a usually-traveled route.
(h) Medical/dental/non-medical remedial care
treatment costs.
1. Treatment expenses include
any financial obligation or monetary outlay for crime-related medical or
non-medical remedial care and other services necessary as a result of the crime
for which the victim/applicant is responsible for payment.
2. Crime-related medical expenses of a
deceased adult victim incurred prior to his or her death are compensable only
when an eligible applicant is financially responsible for the
expense.
3. Medically necessary
equipment (e.g., wheelchairs, oxygen tanks, and prosthetics) that are damaged
during the crime are compensable when the law enforcement report specifically
identifies what happened to those items.
4. Reimbursement for transportation costs to
medical/dental treatment appointments requires the submission of an itemized
bill by the treating provider and a reasonable estimate of the mileage between
the victim/applicant's residence. A traveler who uses an indirect route for
personal convenience must bear any extra costs; reimbursement for expenses
shall be based only on such charges as would have been incurred by a
usually-traveled route.
(i) Crime scene cleanup.
1. Crime scene cleanup compensation is
available to eligible victims/applicants for costs associated with the removal
and disposal of biohazardous and/or biochemical substances following a violent
crime that occurs in the private residence or conveyance of the victim. These
services must be performed by a government-authorized provider within seven
days after law enforcement officially releases the scene as a site closed for
investigation.
2. Acceptable
documentation for crime scene cleanup services includes an itemized bill which
provides the following:
a. Service
provider/facility's name, street address, city, state and zip code, email
address, and telephone number (including area code);
b. Federal tax identification
number;
d. Date of occurrence of
crime incident for which services are provided;
e. Name and address of individual being
billed for services rendered;
f.
Description of service, service date, service units, and total charges; and,
g. Documentation must prove that
services were performed within seven days from the crime incident, or be
accompanied by documentation from law enforcement proving that services were
performed within seven days after law enforcement released the scene as a site
closed for investigation.
(3)
Property Loss Benefits.
(a) Proof of disability predating the crime
is required for persons between 18 and 60 years of age. Acceptable
documentation includes:
1. Written statements
from the Department of Veteran Affairs, the Social Security Administration, or
the victim's treating physician; or
2. Form BVC410 Property Loss Disability
Verification Form (revised 10/20) adopted and incorporated herein by reference,
https://www.flrules.org/Gateway/reference.asp?No=Ref-12726.
(b) The law enforcement report must identify
the victim as the owner of the tangible personal property and assign a value to
the property for which compensation is sought. Alternatively, the law
enforcement report must identify the property, and acceptable documentation of
replacement costs for actual damage may be provided by the victim if the value
or estimated damage is not known at the time the law enforcement report is
made.
(c) Acceptable documentation
of replacement costs includes a receipt for purchase of the replacement item
from a vendor or merchant, official published advertisement, or written
estimate from a retail establishment for the cost of an equivalent item. The
written estimate must be on company letterhead and must include the retailer's
name, address, and an email or website address, if any.
(d) Compensation may be paid for the cost of
the item, plus tax, delivery and installation, up to the maximum benefit amount
on the Schedule of Benefits. Victims/Applicants may apply and be eligible for
issuance of the insurance waiver provision identified in Section
624.128, F.S., regardless of
whether the lifetime benefit has been exhausted.
(e) Objects can be valued only at replacement
cost, regardless of sentimental value.
(f) Examples of compensable tangible personal
property include one's eyeglasses, watch, clock, telephone, personal computer,
wheelchair, medicine, tools of one's trade, oxygen tank, and mailbox.
(g) Examples of property that is not
compensable includes real property, abandoned property, cash or other
negotiable instruments, contraband or other illicit items, exchange agreements,
items that amount to a monetary loss, are intangible, or are cosmetic damage
causing a devaluation of the property.
(h) An application may be filed for each
incident in which a tangible loss is incurred as the result of criminal or
delinquent acts. However; multiple property losses and ongoing victimization
within a reasonable period of time qualify as a single incident, and thus, only
one application may be filed.
(4)
Relocation Benefits.
(a) To be eligible for relocation assistance,
the victim must contact and application must be made through a certified
domestic violence or rape crisis center representative in the State of
Florida.
(b) Certified center
representatives who qualify a victim's need for relocation assistance according
to the requirements established in Section
960.196,
960.198, or
960.199, F.S., shall use form
BVC106 Relocation Certification Worksheet (revised 10/20) adopted and
incorporated by reference,
https://www.flrules.org/Gateway/reference.asp?No=Ref-12723,
to certify their need. The center representative must verify that they have
counseled the recipient in regards to all aspects of the program and the
obligations and responsibilities for receiving the funds. The certification
worksheet must accompany form BVC100 Bureau of Victim Compensation Claim Form
(revised 10/20) adopted and incorporated by reference at Rule
2A-2.2001, F.A.C., for a claim
to be determined eligible. Failure to submit a properly completed certification
worksheet will result in the denial of benefits.
(c) Documentation of how funds requested will
be used must accompany the certification worksheet for a claim to be determined
eligible. Written documentation of relocating to a new location for short-term
interim shelter, rental agreements, or long-term leases will be accepted for
purposes of this program. Acceptable documentation includes standard housing
contracts signed by the property manager or landlord and the victim/applicant
for tenant occupancy of a house, apartment, or piece of living space such as a
room or guest house. In lieu of a standard housing contract, confirmation of
the agreement using form BVC110 Notification of Residential Agreement (10/20)
adopted and incorporated herein by reference,
https://www.flrules.org/Gateway/reference.asp?No=Ref-12727,
shall be used to document how funds will be used for relocation
expenses.
(d) It is the
responsibility of the certified center representative to obtain and review
personal identification documentation before certifying a victim's need for
relocation assistance. The center is not required to forward any personal
identification documentation to the bureau.
(e) If approved, funds will be made payable
to the victim/applicant in care of the respective certified domestic violence
or rape crisis center where the certification of need was obtained. Payments
shall be made in the form of a bank card, voucher, check, state warrant, or any
other method determined by the bureau. Awards will be administered based on the
availability of funds. The bureau shall determine how those funds are
disbursed.
(f) Certified center
representatives who are distributing relocation assistance funds must witness
the victim/applicant's acknowledgement of the terms and conditions for spending
the award and acceptance of payment, in addition to verify the certification of
need using form BVC421 Notification of Possible Recoupment and/or Prosecution
for Fraud (revised 10/20) adopted and incorporated herein by reference,
https://www.flrules.org/Gateway/reference.asp?No=Ref-12728,
The center is responsible for submitting the recoupment form to the bureau upon
collection.
(g) If the victim has
not accepted the funds at the center within 30 days of payment issuance, the
center shall return the funds to the bureau and certification of need will be
revoked. Upon receipt of the returned funds by the bureau, eligibility will be
rescinded.
(5)
Domestic Violence Relocation Assistance.
(a) Proof of a domestic violence crime which
meets the definition of Section
741.28(2),
F.S., must come from a proper authority. Only domestic violence crimes will be
considered compensable for purposes of this benefit.
(b) Certification of need for domestic
violence relocation assistance must be received by the bureau within 30 days
immediately following the occurrence of the domestic violence offense to
demonstrate there is an immediate need to relocate.
(c) "Immediate need" is defined as 30 days
directly following the occurrence of the domestic violence offense, as defined
in Section 741.28, F.S. Exceptions include:
1. Victims for whom a convicted domestic
violence offender is within 30 days of pending release from incarceration. In
cases involving release, the original domestic violence offense report must be
provided along with court or Department of Corrections documentation regarding
pending release of the offender.
2.
When law enforcement or the state attorney (or by delegation the assistant
state attorney) says in writing there is a present need to relocate the victim
due to the threat of further domestic violence.
(6)
Sexual Battery Relocation
Assistance.
(a) Proof of a sexual
battery crime which meets the definition of Section
794.011, F.S., must come from a
proper authority. Only sexual battery crimes will be considered compensable for
purposes of this benefit.
(b)
Certification of need for sexual battery relocation assistance must be received
by the bureau within the statutory claim form filing time to demonstrate there
is a reasonable fear for the victim's continued safety.
(7)
Human Trafficking Relocation
Assistance.
(a) Proof of a human
trafficking crime which meets the definition of Section
787.06(3)(b), (d), (f) or
(g), F.S., must come from a proper authority.
Only human trafficking involving the delineated sex crimes will be considered
compensable for purposes of this benefit.
(b) Certification for relocation assistance
must be received by the bureau within 45 days immediately following the crime
or an identifiable threat by a human trafficking offender to demonstrate the
victim's need for urgent assistance to relocate. Exceptions to urgent
assistance include:
1. Victims for whom a
convicted human trafficking offender is within 30 days of pending release from
incarceration. In cases involving release, the original human trafficking
offense report must be provided along with court or Department of Corrections
documentation regarding pending release of the offender.
2. When law enforcement, state attorney (or
by delegation the assistant state attorney), statewide prosecutor, or federal
prosecutor says in writing there is a present need to relocate the victim.
Written verification must affirm there is an active ongoing investigation, and
that the victim needs to relocate from an unsafe environment due to the threat
of further violence which is directly related to the human trafficking
offense.
Rulemaking Authority 960.045(1) FS. Law Implemented 960.03,
960.05, 960.065, 960.07, 960.09
960.12,
960.13,
960.15,
960.16,
960.17,
960.18,
960.195,
960.197,
960.198,
960.199
FS.
New 3-1-21.