Download and fill in the appeal form, giving reasons why you disagree with the the Criminal Injuries Compensation Authority’s (CICA’s) decision.
You must also provide:
- the decision letter from CICA
- documents supporting your case - eg medical records or evidence of loss of earnings
Send the form, decision letter and documents to the address on the form.
Call or email the tribunal helpline if you have any questions about completing the form. The tribunal can’t give you legal advice.