If this form is not completed and returned, you may not receive restitution in this matter.
At the time of sentencing, a defendant can be ordered to pay restitution to a victim, which is any out-of-pocket expenses and/or future expenses a victim may have regarding the criminal case. This process is a long process that can take months and/or years to receive.
Please take a moment to fill out this form so the Judge may order the correct amount of restitution in your case. Where possible, please provide receipts or estimates, and keep a copy for your records.