N.H. Admin. Code § Jus 604.12

Current through Register No. 50, December 12, 2024
Section Jus 604.12 - 10-Day Emergency Funds Compensation Form
(a) A claimant crisis center submitting a request for compensation for compensation of 10-day emergency funds shall complete and submit a "10-Day Emergency Funds Compensation Form," as revised 6/25/19 along with any of the following documentation to support its claim for eligibility for compensation:
(1) A copy of the police report for the underlying crime;
(2) A copy of the final restraining order; or
(3) A copy of a temporary restraining order and a copy of the police report for the underlying crime.
(b) A claimant crisis center submitting a request for compensation for payment of 10-day emergency funds shall submit copies of all receipts for goods and services provided to the victim for which the crisis center seeks compensation.

N.H. Admin. Code § Jus 604.12

Derived from Volume XL Number 2, Filed January 9, 2020, Proposed by #12938, Effective 12/9/2019, Expires 12/9/2029.