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RLK Assistance Application Form

Rebecca Lee Knox Crime Victim Assistance Fund Application Form


Victim's Information



Name and Address of Payees


Every Day

Every Hour in America there are

2 Murders

2 Drunk Driving Deaths

28 Rapes

58 Robberies

67 Attacks on Women by Someone They Know

103 Neglectful or Abusive Acts Toward Children

157 Stalkings

Broward victim’s rights coalition

P.O. BOX 421 FORT LAUDERDALE FLORIDA 33302
Telephone: 954.357.5775 Ext. 5761 Fax: 954.602.3532