Policy Centre for Victims Issues - The Victims Fund - Financial Assistance for Victims to Attend National Parole Board Hearings

Français	Contact us	Help	Search	Canada Site

Justice Home	Site Map	Programs and Initiatives	Proactive Disclosure	Laws

APPLICATION FOR FINANCIAL ASSISTANCE FOR VICTIMS TO ATTEND NATIONAL PAROLE BOARD HEARINGS

Name of Registered Victim: John Smith

PAYMENT

Address for mailing of information and cheque Note: You do not have to provide your personal address
123 Main St., Sherbrooke, Quebec, J1E 2T9

Cheque payable to:
John Smith

Fax No.
(819) 321-4567

Tel. No. (home)
(819) 321-4567

Tel. No. (office)
(819) 321-4567

Cell Phone
(819) 321-4567

E-mail
jsmithxyz@emailaddress.com

Alternate Contact
Mary Smith

Can Messages be left
Yes No

HEARING

Name of Offender
John Jones

Anticipated Date or Month (Y/M/D) of NPB hearing (if known)*
2007/02 - day unknown

Have you applied to NPB to attend a hearing?
Yes No

Date of Application (Y/M/D)
2006/06/01

Have you been approved to attend?
Yes No

Is this the 1st application
for financial assistance?
Yes No

If not, indicate date (Y/M/D) of previous application?
2006/07/15

Amount Received
$980

Has the NPB hearing been postponed? Yes No

If so, from what date (Y/M/D)?
2006/09/27

TRANSPORTATION

Proposed mode and Route of travel (plane, train, car) (If travelling by car, please indicate the approximate distance)
Car (Sherbrooke/Montreal/Sherbrooke) - 118km
Plane - Montreal/Kingston/Montreal

Anticipated Travel Expenses

Plane
$547

Train
n/a

Ground Transportation taxis/shuttle - $60

Car (kms) 118km

Parking Fees
$45

Airport Fees
n/a

Hotel (generally for 2 nights) or Private Accommodation $90 x 2 nights = $180

Meals & incidentals
3 days x $75 = $225

* An amended form should be submitted when the date is confirmed.

NOTE: Air or train fares are for economy or coach. Government of Canada Travel guidelines establish maximum amounts for meals,
with a daily allowance, including incidentals (e.g. telephone calls, tips) of approximately $75.

For assistance call 1-866-544-1007.


		Last Updated: 2005-10-21		Important Notices