Claim filed for 'Expenses' (medical/mental health) and 'Wage Loss'. Specific amounts not listed on this form.
This document contains informational brochures for Palm Beach County Victim Services and the Center for Trauma Counseling, followed by a Florida Bureau of Victim Compensation Claim Form. The form was filled out by a female victim (name redacted) residing in North Palm Beach who works in retail management. She signed the form on October 25, 2019, requesting compensation for expenses and wage loss, noting she is represented by legal counsel.
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