1. The application of a presumed victim of a criminal offence, to benefit from the provisions of the Crime Victims Compensation Act (chapter I-6) must give, in support of the claim:(a) the name and address of the victim or of the claimant and that person’s social insurance number;
(b) the date, the hour, the place of the crime and the description of the attendant circumstances;
(c) the name and address of the witnesses;
(d) the name of the hospital centre where the victim was admitted and treated, as well as the name and address of the attending physician;
(e) the nature of the injuries;
(f) in case of death, the date, the name and address of the dependents and their degree of relation to the victim;
(g) the name of the police force that carried out the investigation, if known by the victim or the claimant.