EFTA00018845.pdf

"At request of the individual for purposes of establishing eligibility for New York State Office of Victim Services benefits"

"NYS OFFICE OF VICTIM SERVICES - AE SMITH BLDG., 80 S. SWAN ST., ALBANY, NY 12210-8002"

"The victim was injured because of. . . Sexual Assault"

"Office of Victim Services (OVS) creates a lien in favor of the Stated New York on any recovery relating to the crime upon which this claim is based"

"Mail your documents to: New York State Office of Victim Services AE Smith Building"

"New York State Office of Victim Services AE Smith Building 80 S. Swan Street Albany, NY 12210-8002"

"If you are eligible for compensation, the OVS may be able to reimburse for the expenses listed below."

"local Victim Assistance Program (VAP) in order for the VAP to assist the OVS in processing my claim and making its determination"

"Has the DA asked the court to order restitution?"

"Office of Victim Services (OVS) ... 80 S. Swan Street Albany, NY 12210-8002"

"Office of Victim Services (OVS) ... 55 Hanson Place Brooklyn, NY 11217-1523"

"The DA is under an obligation to petition the Court to order restitution on your behalf."

"New York State Office of Victim Services ... Rev. September 2015"

"Medicare"

"Medicaid"

"victim/parent of hospitalized minor victim"

"Rev September 2015"

"Social Security Benefits (ssn required)"

"Workers' Compensation"

"New York State Division of Human Rights at (212) 480-2493"

"New York City Commission of Human Rights at (212) 306-7450"