Application forms
To view PDFs ...
The following application forms are available to enable you to apply for compensation for criminal injuries sustained in Northern Ireland on or after 1 April 2009.
Use this form to claim compensation for a personal injury, whether mental or physical.
Use this form to claim compensation if your parent, child, husband, wife or partner has died as a result of a criminal injury.
Supplementary Compensation 2009
Use this form, in relation to claims where the victim has died, other than in consequence of the injury sustained, to claim compensation for loss of earnings or special expenses between the date of injury and subsequent date of death. Please note that if the time period between date of injury and date of unrelated death is less than 28 weeks you will not qualify for a supplementary compensation award.
