Section 11.02. Filing of claims.  


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  • (1) Filing deadline. A claim must be filed by the applicant within the time limits specified in s. Jus 11.07 (1) .
    (2) Application form. A claim shall be filed on the application form prescribed by the department and shall contain at least the following information:
    (a) The name and address of the victim of the crime.
    (b) The name and address of the applicant and the relationship of the applicant to the victim.
    (c) An accurate description of the crime, the circumstances which brought it about and the date on which the crime occurred.
    (d) The law enforcement agency to which the crime was reported and the date on which the crime was reported.
    (e) The nature and extent of the injuries the victim sustained from the crime; the name and address of any person who gave medical treatment to the victim for these injuries; the name and address of any hospital or similar institution where the victim received medical treatment for the injuries and the costs of such treatment.
    (f) The work loss the victim sustained as a result of the crime.
    (g) The amount of benefits the victim, dependent or applicant has received, or is to receive, from any collateral source for economic loss that resulted from the crime and the name of the collateral source.
    (h) Whether the claimant is the spouse, sister, brother, child or parent of the offender, the offender's relatives or accomplice or whether the applicant lives with the offender, the offender's relatives or accomplice and the relationship, if any, between the applicant, offender, offender's relatives or accomplice.
    (i) A release authorizing the department to obtain any report, document or other information it needs in its determination of the claim.
    (j) Any additional information or material the department determines is reasonably related to the application.
    (3) Incomplete applications. Whenever an application is not complete or the department otherwise lacks information required under sub. (2) , the department shall request the applicant to provide the required information. If the applicant fails within 30 days to provide the information or to indicate why the information is unavailable, the applicant shall be denied an award under s. Jus 11.07 (7) .
History: Cr. Register, February, 1992, No. 434 , eff. 3-1-92.

Note

A copy of the application form may be obtained at the Wisconsin department of justice at no charge. Microsoft Windows NT 6.1.7601 Service Pack 1