Phone (719) 520-6036 or go to the District Attorney's Office at 105 E. Vermijo, Suite 111, Colorado Springs, CO 80903
to obtain an application. You can also download the application or this follow-up survey and print it off at home:
Victim Compensation Application /
Follow-Up Survey for Victim Compensation Service
For the Therapist
Victim Compensation is the payer of last resort, as such, all health insurance coverage, including Medicaid and Medicare,
must be utilized prior to the victim compensation program making awards. Only state licensed therapists are eligible for payment.
A treatment plan may be subject to discovery in court proceedings.
Forms to be used by the therapist
All treatment plans, progress reports and extension requests and change of therapist
forms MUST be typed. Forms submitted not typed will be returned to the provider.
The Victim Compensation Board and the DA's Office do not provide a list of therapists to claimants.
Forms for crimes before 10/1/16:
Victim Compensation Application
Initial Assessment and Treatment Plan
Progress Report and Extension Request
Change of Therapist - Treatment Plan