Crime Victim Assistance Referral Form

• Victim Advocates may complete this form to apply for financial assistance on behalf of their client.
• IFCS staff will work directly with victim’s advocates to determine eligibility, financial assistance to be provided, and payment.
• The Victim’s Assistance Program is operating on a quarterly budget. Applications may be denied if all funds have been expended for the budgeted term. Denied applicants must reapply once funding is available.

Eligibility for Assistance through June 2023:

• The criminal act occurred within the 18th Judicial District and,
• The crime has been reported to law enforcement and has a case number and,
• The incident occurred less than 6 months from the application date and,
• The applicant can demonstrate that financial need is crime related and,
• The applicant is requesting vendor-direct payment and,
• The referral for service was completed by a Colorado Victim Advocate.

Setting Priority Levels:

• Applicants living in the IFCS financial programs service area of western Arapahoe county covering Centennial, Englewood, Glendale, Greenwood Village, Littleton, Sheridan, and unincorporated areas of western Arapahoe county and,
• Applicants scoring in crisis or vulnerable in the Safety, Food, Housing and Family/Social Relations domains as set by the modified version of the Arizona Self-Sufficiency Matrix.

Additional Comments:

• If the form gives you an error, please contact a Resource Navigator by email or phone.
• Due to the overwhelming number of requests for assistance, we appreciate your patience in waiting for a response from our team.