This is the Criminal Injuries site
http://email.about.com/od/hotmailtips/qt/et072 804.htm
Read through this. It gives details of awards payable for different injuries.
When you total up the awards they generally only make a payment if the total of awards for the different injuries exceeds �1000
At the end of the day i would advise you to fill in the form and see what happens , they can only refuse.
Claims are usually refused if the injured party was partly to blame or did not cooperate with a police investigation,but this would not apply in your case.