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Apply Online

If you are a victim of a crime, you may qualify for medical, emotional, and financial assistance due to your crime-related injuries.  On HEART4Victim's website, you can complete a secure and confidential HEART Online Application. The HEART Online Application will guide you through the process providing helpful hints along the way.

Upon completion of your HEART4Victims application, we will populate the public CalVCB PDF application form with data you have provided then submit the completed PDF application to the CalVCP public FAX number.

If you are ready to use HEART’s online services please click on the button below to get started.

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