Provider Bill Status Request

Please use this form to request the status of applications or bills that have been submitted to the Victim Compensation Board.

Please provide the following information for staff to research the status of an application or bill. Feel free to submit additional requests as necessary.

How will CalVCB use the information you give us? Read our privacy notice on collection.

Provider Information

Bill Information

Bill 1

Bill 2

Bill 3

Bill 4

Bill 5

Bill 6

Bill 7

Bill 8

Bill 9

Bill 10

Information on this form is intended for the single requestor listed above. All claims filed with the California Victim Compensation Board (CalVCB) are confidential. Except as required by law, information such as the identity of an applicant, the existence of a claim, the status of a claim or other details regarding the claim can only be disclosed with the written permission of the applicant. Disclosure of confidential CalVCB information to unauthorized parties is a violation of California law.