ITVERP Documents

These materials describe the International Terrorism Victim Expense Reimbursement Program (ITVERP), general program requirements, program implementation efforts, and the steps to apply for this reimbursement.

• ITVERP Brochure
  • English
  • Arabic
  • French
  • Hebrew
• ITVERP Fact Sheet
   

Forms & Checklists

You will need the following forms and instructions to prepare your application.

• ITVERP Application (OMB Number 1121-0309; form expires 3/31/2021.)
• Supplemental Sheet (OMB Number 1121-0309; form expires 3/31/2021.)
• ITVERP Application Checklist
• ITVERP HIPAA Release
• Sample Property Loss Affidavit
• Automated Clearinghouse Form (For direct deposit of payment of a claim.)
• Authorization for Legal Representative Affidavit 
• Third Party Payer Authorization
   

Regulations

• ITVERP Final Regulations (Federal Register Volume 71, Issue 172; September 6, 2006).
• ITVERP Final Rule (Federal Register Volume 76, Issue 69; April 11, 2011).
   

Reports to Congress

• 2015 – Reporting Period October 2014 – September 2015
• 2014 – Reporting Period October 2013 – September 2014
• 2013 – Reporting Period October 2012 – September 2013
• 2012 – Reporting Period September 2011 – September 2012
• 2011 – Reporting Period September 2010 – August 2011
• 2010 – Reporting Period September 2009 – August 2010
• 2009 – Reporting Period September 2008 – August 2009
• 2009 Report to Congress (Reporting Period: September 2007 – August 2008)
• 2008 Report to Congress (Reporting Period: October 2006 – August 2007)
   

Resource List

These resources and programs from OVC and partner agencies may be of assistance to you.

Office of Overseas Citizens Services, Bureau of Consular Affairs, U.S. Department of State.
Assists American citizens who become victims of crime while traveling, working, or residing abroad. Consular duty personnel are available for emergency assistance 24 hours a day, 7 days a week, at embassies, consulates, and consular agencies overseas and in Washington, D.C.

Contact information for U.S. Embassies and Consulates overseas can be found at www.usembassy.gov.

Victim Services Division, Federal Bureau of Investigation, U.S. Department of Justice.
Manages the FBI’s operational victim assistance response to terrorist attacks outside the United States, criminal transportation disasters, and other mass casualty crimes.

Office of Justice for Victims of Overseas Terrorism, National Security Division, U.S. Department of Justice.
Responsible for ensuring that the investigation and prosecution of a terrorist attack remains a high priority within the Department of Justice and providing information and support to victims and their families during the criminal justice process.

More information on the office, responsibilities, and assistance to victims can be found in the Assistance for U.S. Victims of Overseas Terrorism and Their Families brochure.

More information on these resources is available from OVC's Help for Victims website.