Form 34A - Notice of Preliminary Application for Compensation for Criminal Injury to the Person

What this form is for

• • Use this form when you've suffered physical injury due to a crime
• • This is only for preliminary applications; final applications may use different forms
• • Use this form regardless of whether the criminal has been convicted
• • This form is for personal injury claims only, not for property damage

Use this form or another form?

Deadline or filing window

Criminal injury compensation applications generally must be submitted within 2 years of the date of the injury, though extensions may be granted in exceptional circumstances.

Before you submit

• • Complete all sections of the form
• • Include detailed description of the injury
• • Attach all medical reports and documentation
• • Provide police report number if available
• • Keep a copy of your completed form
• • Verify you're using the latest version of the form
• • Check that you're submitting to the correct court office

How to file this form

1. 1Obtain the correct Form 34A from the Courts Service website or court office
2. 2Complete all sections with accurate information about the injury and crime
3. 3Gather all supporting documentation (medical reports, police reports)
4. 4Submit the completed form to the appropriate court office
5. 5Keep a copy for your records and note the submission date
6. 6Await notification of the next steps in your application

Known limitations

• • This form only covers preliminary applications; final approval requires additional steps
• • Compensation amounts are not determined by this form
• • The form does not guarantee approval of your claim
• • Time limits apply to submitting this form
• • The form may need to be submitted again if significant new information emerges