Crime Victim Assistance Referral Form

Please note: This page is for Victim Advocates within the 18^th Judicial District of Arapahoe, Douglas, Elbert, and Lincoln counties only.

• Complete this form to refer a client for financial assistance.
• Advocates will work directly with a resource navigator who will determine eligibility.
• If the form gives you an error, please contact a Resource Navigator by email or phone.
• Please note: Due to the overwhelming number of requests for assistance, we appreciate your patience in waiting for a response from our team.