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…no one can make that promise to you. All decisions are made by the Crime Victim Compensation Board. Return to: Crime Victim Compensation 720-913-9253(Phone) 201 W. Colfax, Dept 801 720-913-9035…

…decisions are made by the Crime Victim Compensation Board. Return to: Crime Victim Compensation 720-913-9253(Phone) 201 W. Colfax, Dept 801 720-913-9035 (Fax) Denver, CO 80202 VictimComp@denverda.org DENVER CRIME VICTIM COMPENSATION…

…(date) ______________________ To (date): ____________________________ Net income lost: $___________________ (Minus sick leave) Employer’s representative (print) _______________________________ Phone: _____________________________ Return to : Crime Victim Compensation 201 W. Colfax, Dep. 801 Denver,…

…make that promise to you. All decisions are made by the Crime Victim Compensation Board. Return to: Crime Victim Compensation 720-913-9253(Phone) 201 W. Colfax, Dept 801 720-913-9035 (Fax) Denver, CO…

…please call us at 720-913-9253. Employee name: _________________________ Employee SSN/ID ___________________ Job title: _________________ Date hired: ________ Duties: _________________________ Hours lost: ____________________ From: _________________ To: __________________ Month/Day/Year Month/Day/Year Net income…