Easily Access Important Forms Online
The District aims to provide simple resources to the community for submitting insurance information, requesting medical records, applying for financial assistance, and filing a claim through the Crime Victims' Compensation Program. Use our online forms to send information quickly and securely.
Crime Victims' Compensation Program
The Department of Public Safety Missouri Office for Victims of Crime offers the Crime Victims' Compensation Program for individuals who have suffered physical trauma from specific violent crimes. The program provides a maximum benefit of $25,000.
Medical Records Request
Patients who have received emergency medical care and assistance from the District can request to receive all medical records related to these services. Complete the medical records request form and submit it electronically. The District works to facilitate all requests promptly.
