SAFE Anonymous NFK/Strangulation Request for Payment Form and Instructions

There are two ways to submit a SAFE Request for Payment Form for Anonymous NFK/Strangulation Claims:
1. Submit through WebFile (preferred method), OR
2. Download the SAFE Request for Payment Form from the VVF website and mail completed form to: Virginia Victims Fund, P.O. Box 26927, Richmond, VA 23261.

Instructions for completing the form are viewable on pages 2-5 of the PDF.

Please note: Emailed or faxed SAFE Request for Payment Forms are not acceptable and will not be processed.