№ lp_2_3_50096
File format: docx
Character count: 2157
File size: 72 KB
Administrative authorization form establishing consent for information disclosure, payment arrangements, lien acknowledgment, and certification in connection with a crime victim compensation claim before the Office of Victim Services in New York State.
Jurisdiction:
State of New York
Country:
United States
Issuing Authority:
Office of Victim Services
Document Type:
Authorization Form
Subject:
Crime victim compensation claim and release of information
Related Programs:
Victim Assistance Program (VAP)
Legal Effect:
Creation of lien in favor of the State of New York upon recovery related to the crime
Authorization Scope:
Release of records and information to OVS, representatives, legal counsel, local government entities, and designated persons
Certification:
Declaration of truthfulness under penalty of criminal offense
Signature Requirement:
Claimant’s signature and date
Contact Information Required:
Daytime phone number and email address
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2025
Region / City:
Sheffield, Leeds
Topic:
Legal claim for injunctive relief
Document Type:
Skeleton Argument
Organization / Institution:
Veolia Environnement S.A.
Author:
Legal team representing the Claimants
Target Audience:
Legal professionals, Court officials
Period of Action:
13 June 2025
Date of Approval:
June 2025
Case/Counterclaim No(s):
CDT / / 20
Year:
2020
Region / City:
Not specified
Subject:
Legal proceedings
Document Type:
Form
Author:
Not specified
Target Audience:
Claimant / Respondent in legal case
Period of validity:
Not specified
Date of approval:
Not specified
Date of changes:
Not specified
Year:
20____
Region / city:
_____________________
Subject:
Declaration of teaching / non-teaching service
Document type:
Affidavit
Organization / institution:
Not specified
Author:
Not specified
Target audience:
Individuals providing employment verification
Period of validity:
Not specified
Approval date:
Not specified
Amendment date:
Not specified
Year:
1972
Region / City:
South Australia
Topic:
Inheritance law
Document Type:
Legal notice
Institution:
Supreme Court of South Australia
Author:
Not specified
Target Audience:
Potential claimants in inheritance cases
Period of validity:
28 days from notice service
Date of approval:
Not specified
Date of changes:
Not specified
Year:
2017
Region / City:
Dublin
Subject:
Transportation / Toll Refunds
Document Type:
Claim Form
Issuing Authority:
Dublin City Council
Target Audience:
Businesses operating 5+ axle vehicles
Period Covered:
From: ___________ to: ___________
Claim Amount:
Number of trips x €4.25 per trip
Submission Deadline:
Claims must be submitted in the 3rd month for the previous two months
Supporting Documents Required:
Official toll invoices/statements, receipts, up-to-date Tax Clearance Certificate/C2 Form
Terms:
Claims only valid for 5+ axle vehicles during operational hours of the HGV Management Strategy; incorrect information may lead to rejection
Year:
2024
Region / Jurisdiction:
United States
Subject:
Social Security and Supplemental Security Income Claims
Document Type:
Federal Government Information Collection Request
Agency:
Social Security Administration
Author:
Office of Hearing Operations
Target Audience:
Individuals seeking substitution for deceased claimants
Regulatory References:
20 CFR 404.957(c)(4), 416.1457(c)(4); Social Security Act Sections 205(a), 1631(e), 1869(b)(1) and (c)
OMB Control Number:
0960-0288
Estimated Respondents:
4,000 annually
Average Burden per Response:
5 minutes
Total Annual Burden:
333 hours
Total Annual Opportunity Cost:
$4,429
Annual Federal Cost:
$15,017
Mode of Submission:
USPS mail via Form HA-539 PDF
Confidentiality:
Information protected under 42 U.S.C. 1306, 20 CFR 401 and 402, FOIA, Privacy Act of 1974, OMB Circular No. A-130
Contextual Description:
Federal administrative source detailing the procedures and requirements for substituting parties in hearings on claims for Social Security and SSI benefits when the original claimant is deceased.
Year:
2020
Region / city:
Victoria, Australia
Theme:
Family violence response in healthcare workplaces
Document type:
Guidelines
Organization / institution:
Department of Premier and Cabinet, Victorian Government
Author:
Victorian Government
Target audience:
Hospitals and healthcare staff
Effective date:
September 2020
Date of approval:
Not specified
Date of amendments:
Not specified
Related legislation:
Gender Equality Act (2020), Family Violence Information Sharing Scheme (FVISS), Child Information Sharing Scheme (CISS)
Context:
This document offers updated resources to hospitals and health services in Victoria to support staff who are victim survivors of family violence, reflecting current best practices and legal requirements under MARAM and the Gender Equality Act.
Note:
Year
Contextual Description:
A legal document used to assess the emotional, physical, and financial impact of a crime on juvenile victims and their families within the juvenile justice process.
Note:
Year
Year:
2022
Region / city:
United States
Topic:
Human trafficking victim assistance, Program evaluation
Document type:
Survey
Organization / institution:
RTI International, Office of Planning, Research, and Evaluation (OPRE), Office on Trafficking in Persons (OTIP), Administration for Children and Families (ACF)
Author:
RTI International
Target audience:
TVAP and Aspire subrecipient organizations, Service providers
Period of validity:
2022-2028
Approval date:
Not specified
Date of changes:
Not specified
Evaluation of the Trafficking Victim Assistance Program (TVAP) and Aspire:
Child Trafficking Victim Assistance Demonstration Program (Aspire) aims to gather feedback from subrecipients on their experience with the program’s administration, service provision, and client referral processes.
Year:
2020-2024
Region / City:
Northern Ireland
Subject:
Victim and witness support, employment application
Document Type:
Job Description
Organization / Institution:
Victim Support NI
Author:
Victim Support NI
Target Audience:
Applicants for the role of Administrative and Support Officer
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2024
Region / City:
Omaha, Nebraska, USA
Topic:
Crime Victim Services, Remote Work
Document Type:
Research Article
Institution:
University of Nebraska Omaha
Author:
Lane Kirkland Gillespie, Tara N. Richards, Emilie Whitehouse
Target Audience:
Academics, Victim Service Providers, Policymakers
Period of Application:
Ongoing
Date of Approval:
2024
Date of Changes:
N/A
Year:
Not specified
Region / City:
Banyule, Darebin, Merri-Bek, City of Hume, Yarra, Nillumbik, Whittlesea Local Government Areas
Subject:
Victim assistance, Crime victims, Crime witnesses, Family support
Document Type:
Referral form
Organization / Institution:
DPV Healthcare
Author:
Not specified
Target audience:
Crime victims, crime witnesses, affected family members, healthcare providers, social services
Period of validity:
Not specified
Approval date:
Not specified
Amendment date:
Not specified
Year:
2022
Region / City:
Florida
Theme:
Legal Instruction
Document Type:
Legal Guideline
Organ / Institution:
Florida Statutes
Author:
State of Florida
Target Audience:
Legal Professionals, Judges, Lawyers
Period of Validity:
Ongoing
Date of Approval:
1981, amended 1987, 1995, 2007, 2015, 2016, November 20, 2020, December 15, 2021, December 21, 2022
Date of Changes:
November 2022, December 2022
Context:
A legal instruction regarding sexual battery charges for cases involving victims under 12 years of age in Florida, detailing the elements of the offense and lesser-included offenses under Florida statutes.
Year:
2023
Region / City:
Florida
Theme:
Law
Document Type:
Legal Instruction
Organization / Institution:
State of Florida
Author:
Not specified
Target Audience:
Legal professionals, Judges, Lawyers
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
April 25, 2023
Year:
2020
State:
North Carolina
Country:
United States
Document Type:
Frequently Asked Questions (FAQ)
Issuing Body:
North Carolina Governor’s Crime Commission
Committee:
Crime Victim Services (CVS) Committee
Funding Sources:
Victims of Crime Act (VOCA); Violence Against Women Act (VAWA) STOP Program
Subject:
Federal grant funding for crime victim services
Intended Audience:
Subrecipients and grant applicants
Contact Information:
CVS Planning Team, (919) 733-4564; [email protected]
Geographic Scope:
Statewide
Update Date:
December 2020
Year:
2026
Region / City:
California
Theme:
Trauma Recovery, Crime Victim Services
Document Type:
Grant Notice
Authorizing Entity:
California Victim Compensation Board (CalVCB)
Target Audience:
Trauma Recovery Centers, Grant Applicants
Period of Validity:
July 1, 2026 – June 30, 2028
Approval Date:
March 19, 2026
Amendment Date:
Not specified
Year:
2023
Region / City:
Texas
Subject:
Employee Performance Evaluation
Document Type:
Performance Review
Organization / Institution:
Texas Department of Criminal Justice
Author:
Not specified
Target Audience:
TDCJ employees, supervisory staff
Period of Effect:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2020-2024
Region / City:
Northern Ireland
Topic:
Victim and Witness Support, Employment Opportunity
Document Type:
Job Vacancy Advertisement
Organization / Institution:
Victim Support NI
Author:
Victim Support NI
Target Audience:
Job Applicants
Period of Validity:
Ongoing recruitment
Approval Date:
N/A
Date of Changes:
N/A