50 Park Place
Newark, NJ 07102
For assistance, please contact the office between the hours of 8:30am-5:00pm (except Holidays) at (877-658-2221) or (973) 648-2107 or by email at email@example.com
Reception window is open between the hours of 9:00am-4:00pm (except Holidays)
Appointments need to be scheduled in advance by sending a request to firstname.lastname@example.org.
25 Market Street
7th Floor West Wing
Trenton, NJ 08625
Monday through Friday
8:00 a.m. to 5:00 p.m.
For assistance, please contact the office at (877-658-2221) or (973) 648-2107 or by email at email@example.com
To schedule an appointment, please Email at firstname.lastname@example.org.
Claims Processing System
Below you will find forms useful for Victims, Providers. Some of the following resources are of use to both Victims and Providers.
Third Party Disclosure - Agency
Third Party Disclosure Consent Form
Yearly Evaluation of Mental Health
Psychological Assessment Authorization
Mental Health Providers List
Mental Health Counseling Fee Schedule
Help victims recover from the effects of violent crimes by providing financial assistance to victims, their families, and victim service providers to help alleviate the economic and emotional burdens of victimization.