You are eligible for the following categories of compensation only if they are not covered by another source:
Medical Expenses
Counseling Expenses
Funeral Expenses
Economic Loss
TOTAL AWARD AMOUNT ALLOWABLE IS $10,000
WHAT IS THE MAXIMUM FOR EACH CATEGORY?
1. Medical Expense $5,000
2. Counseling Expense $2,500
3. Funeral Expense $3,000
4. Economic Loss $5,000