Current through Register Vol. 49, No. 18, September 16, 2024
PURPOSE: This rule sets forth requirements for
filing and pursuing claims under Chapter 595, RSMo.
(1) Definitions.
(A) All terms in this rule shall have the
same meaning as in Chapter 595, RSMo.
(B) A "compensable crime" is the crime that
is the subject of a claim for compensation.
(2) Filing of Documents.
(A) Unless otherwise specified in this rule,
any document filed with the Crime Victims' Compensation Program of the
Department of Public Safety, Office of the Director (program) is considered
filed on the date the document is received by the program.
(B) Documents received by mail are considered
filed on the postmark date.
(C) Any
document requiring a signature may be signed electronically.
(3) Review of Claims. It is the
responsibility of the claimant to prove to the satisfaction of the program that
it is more likely than not that the physical, emotional, or mental harm or
trauma giving rise to the application, and the expense for which compensation
is sought, is caused by a compensable crime under section 595.010.1(5), RSMo,
that is the subject of the application.
(4) Supporting Documents.
(A) No compensation may be paid without
proper documentation.
(B) Claimants
are to produce any document or information requested by the program as
necessary to support the claim.
(C)
Following the initial filing of a claim, if a claimant fails to provide
requested information, the claim may be denied.
(D) In cases involving the death of the
victim, the claimant shall submit a death certificate.
(E) Claimants shall promptly provide, in
writing, their current contact information, including mailing address, phone
number and/or email address to the program. The claimant is responsible for
informing the program of any change in contact information. Failure to do so
may result in denial of the claim.
(5) Cooperation. All claimants are to
cooperate with the program and its representatives. Lack of cooperation is
grounds for claim denial.
(6)
Reduction.
(A) Contributory conduct.
1. If, through consent, provocation,
incitement, or negligence, the victim contributed to the infliction of the
victim's injury or death, the claim shall be denied.
2. In order to ensure consistency in awards,
no partial reduction in the amount of compensation may be made due to
contributory conduct by the victim.
3. Factors to be considered when determining
whether a victim contributed to the conduct include, but are not limited to:
A. Whether the victim's actions directly and
substantially caused the offender's actions;
B. Whether the victim's misconduct was
willfully part of a continuous flow of events leading to the crime and the
victim's involvement was reasonably avoidable;
C. Whether it was reasonably foreseeable that
the victim's actions would cause the offender to inflict an injury on the
victim; and
D. Whether the victim's
participation in the commission of a potential crime was the result of threat,
force, coercion, or control.
4. Determinations regarding contributory
conduct shall be made on basis of facts and substantial evidence.
(B) Fundraising and crowdsourcing.
1. Payments made to claimants shall be
reduced by any amount received as a result of fundraising on behalf of the
victim. Such sources include, but are not limited to, memorial funds, in-person
fundraisers, and fundraising from websites such as GoFundMe.
2. In order to determine whether fundraising
has been used to pay for otherwise compensable expenses, and thus constitutes a
collateral source, the program may request any documentation necessary to
determine the extent to which a claimant has received funding from such
efforts. If the program cannot establish that the fundraising has paid for
otherwise compensable expenses, then no reduction in payments may
occur.
(C) Unrelated
services. If expenses for services unrelated to a compensable crime are
submitted by a claimant, those expenses shall not be reimbursed.
(7) Maximum Award Amounts. Maximum
award amounts are set in Chapter 595, RSMo. The following are the current
maximum award amounts:
(A) Reasonable and
necessary expenses actually incurred for preparation and burial in the event of
death, including funeral expenses: five thousand dollars ($5,000);
(B) Actual loss of earnings or support from
gainful employment: four hundred dollars ($400) per week;
(C) Attorney fees related to filing of Crime
Victims' Compensation (CVC) application: Up to fifteen percent (15%) of total
award; and
(D) Total for any claim,
including funeral expenses, lost earnings, out-of-pocket losses, attorney fees,
and all other categories of expenses: twenty-five thousand dollars
($25,000).
(8)
Determination of Lost Earnings or Support.
(A)
In determining whether to award lost earnings or support to a victim or a
dependent of a victim, the program shall consider whether the victim was
gainfully employed at the time of the crime.
(B) In order to make this determination, the
program may request and consider the following documentation:
1. Documentation of wages, including pay
stubs;
2. Federal or state income
tax returns, including any forms showing estimated taxes;
3. A document releasing the victim to return
to work, signed by a medical provider or a psychiatric treatment or counseling
service provider, who treated or examined the victim for injuries caused by a
compensable crime; or
4. Any other
document that would demonstrate gainful employment.
(C) Lost earnings or support may include
compensation in instances where a victim is unable to maintain employment as a
result of the crime.
(D) Lost
earnings or support may include earnings lost by a claimant as a result of
participating in the criminal justice process, such as earnings lost due to
meeting with officers or attending or participating in court
proceedings.
(9)
Determination of Out-of-Pocket Loss.
(A) An
"out-of-pocket loss" is an unreimbursed or otherwise unreimbursable expense or
indebtedness reasonably incurred. Out-of-pocket loss does not include loss of
earnings or support.
(B) The
following items are eligible for reimbursement as out-of-pocket loss if
incurred as a result of a compensable crime:
1. Temporary lodging.
A. Temporary lodging may be reimbursed when a
reasonable claimant would feel fear or apprehension if the claimant were to
return to the claimant's place of residence, and such fear or apprehension is
related to a compensable crime.
B.
Reimbursement may only be made for actual expenses of up to fourteen (14) days
of temporary lodging, incurred at locations open to the general public that
generally charge for accommodation. Examples of such locations are hotels;
motels; bunkhouses; dormitories; campgrounds; and short-term rentals in private
residences offered through electronic platforms such as Airbnb, HomeAway, or
VRBO.
C. No reimbursement may be
made for lodging expenses exceeding the rate adopted by the State of Missouri,
Office of Administration for state employee travel expenses or the General
Services Association's Continental United States (CONUS) per diem rates,
whichever is lower;
2.
Replacement costs for clothing and bedding held as evidence;
3. Replacement or repair of locks at the
victim's residence or other involved residence; and
4. Dependent care to allow victims to
participate in criminal justice activities or secure medical treatment and
rehabilitation services, when such care would not have been incurred but for
the compensable crime. The care shall be provided by providers licensed by or
registered with the Missouri Department of Health and Senior Services, the
Missouri Department of Social Services, or a provider licensed by a similar
entity to provide such care in the state in which the service is provided.
(C) The program shall
develop a schedule of the amounts that are eligible for reimbursement pursuant
to this section. This schedule shall be reviewed and updated at least once per
state fiscal year.
(D) The
following expenses shall not be allowed as out-of-pocket losses:
1. Pain and suffering;
2. Any expense not reasonably resulting from
a compensable crime;
3. Any expense
eligible for payment from another payer, such as insurance or other benefit
programs, or fundraising or crowdsourcing; and
4. Any expense not listed in subsection (A)
of this section.
(E) This
section shall apply to any claim regarding a crime committed on or after the
effective date of these rules. Claims arising from crimes committed prior to
the effective date of this section are ineligible for reimbursement of losses
under this section.
(10)
Offer of Compensation and Award.
(A) Offer of
compensation.
1. An "offer of compensation"
or "offer" is notification of a determination as to the claimant's eligibility
for compensation and the anticipated amount of such compensation, if
any.
2. Once the program issues an
offer, the offer is final.
3. The
program may rescind an offer at any time for ineligibility.
4. Acceptance of an offer does not establish
a contract between the claimant and the program.
5. The program shall adopt procedures to
provide claimants adequate notification of offers and document such
notification. Such procedures shall be made publicly available upon
request.
(B) Disbursement
of award.
1. When disbursing an award,
proceeds are applied in the following order:
A. Compensation paid to claimants, in the
following order:
(I) Loss of income or
support; and
(II) Other expenses
paid by the claimant; and
B. Outstanding crime-related expenses to be
paid directly to providers.
(I) The program
may prorate the remaining amount of the award among providers after other
compensation awarded has been deducted.
(II) If no response is received by the
program within thirty (30) days of issuing an offer of compensation, the
program may pay expenses compensable under this paragraph. Such expenses shall
be debited against the maximum award amount. Once the maximum award amount is
reached, no further payment will be made.
2. The program is not bound by any agreements
between providers and claimants regarding priority of expenses.
(C) If the victim is legally
incompetent, the program may require that a conservatorship be established and
the award be delivered to the conservator.
(11) Attorneys.
(A) Claimants may be represented before the
program by a licensed attorney. The attorney is to file a notice of
appearance.
(B) Completion of the
attorney information section on the Application for Crime Victims' Compensation
form is considered the same as filing a notice of appearance.
(C) If an award of attorney fees is made
pursuant to section 595.025.4, RSMo, such fees are considered awarded
concurrently with other compensation awarded in the order of priority set in
section (9) of this rule. For administrative convenience, the program may
choose to pay such compensation in a lump sum at any time prior to closing a
claim.
(12) Death of
Victim During Claims Process. If a person eligible for compensation pursuant to
section 595.020.1(1) or (2), RSMo, files a claim for compensation and
subsequently dies from causes unrelated to the crime, the program shall
terminate proceedings on the claim, and no further compensation shall be
paid.
(13) Expenses for Victims of
Domestic Violence. The program shall consider compensation for victims of
domestic violence, as such term is defined in section
455.010, RSMo, with a
concern for their safety. No reduction in compensation may occur due to a
potential collateral source of payment for expenses when-
(A) A claimant has insurance or other similar
benefits provided as a result of the claimant's relationship with the offender
(a "shared benefits plan"); and
(B)
The claimant fears harm if the claimant requests payment of expenses through
the shared benefits plan.
(14) Reporting of Crimes. The following terms
contained in section
595.030,
RSMo, are defined as follows:
(A) "Proper
authorities" for reporting purposes are the following:
1. For all offenses: Law enforcement
agencies, prosecuting attorneys, the Attorney General's Office, or courts;
or
2. For sexual offenses:
Appropriate medical providers, as defined in section
595.220,
RSMo.
(B) "Official
records" include the following:
1. For all
offenses:
A. Records of courts, law
enforcement agencies, prosecuting attorneys, or the Attorney General's Office;
B. Records of the Address
Confidentiality Program of the Missouri Secretary of State established pursuant
to section
589.663,
RSMo; or
C. Any other record set
forth in section
595.030,
RSMo.
2. For sexual offenses: Any
record of a medical provider demonstrating that the victim received a forensic
examination.
(15) Statutory References. All statutory
references in this section are to the Missouri Revised Statutes in effect on
the effective date of this regulation. Any reference to a particular statute,
regulation, or document shall be deemed to include its
successor.