New Hampshire Code of Administrative Rules
Jus - Attorney General, Department of Justice
Chapter Jus 600 - VICTIMS' COMPENSATION
Part Jus 604 - FORMS
Section Jus 604.12 - 10-Day Emergency Funds Compensation Form

Universal Citation: NH Admin Rules Jus 604.12

Current through Register No. 40, October 3, 2024

(a) A claimant crisis center submitting a request for compensation for compensation of 10-day emergency funds shall complete and submit a "10-Day Emergency Funds Compensation Form," as revised 6/25/19 along with any of the following documentation to support its claim for eligibility for compensation:

(1) A copy of the police report for the underlying crime;

(2) A copy of the final restraining order; or

(3) A copy of a temporary restraining order and a copy of the police report for the underlying crime.

(b) A claimant crisis center submitting a request for compensation for payment of 10-day emergency funds shall submit copies of all receipts for goods and services provided to the victim for which the crisis center seeks compensation.

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