Who fills out this form?

The form has spaces for the victim's name and signature, and the person submitting it fills out the 'From' line.

What is this form asking for?

It is asking the Clerk of the Sentencing Court to provide the defendant's Payment History.

Does this form mention any fees?

The provided text does not mention any filing fees.

AOCGN12F

Victim’s Request for Payment History

Arizona · Arizona Judicial Branch · Effective July 30, 2018

This form is a request from a victim to the Clerk of the Sentencing Court asking for a record of the defendant's payment history. It is used to formally ask the court for this specific payment information.

Open the official PDFfrom Arizona Judicial Branch

Where this fits in a case

General & info

Information / general use — not tied to one step of a case

This form is used when a victim needs to request the court to provide a record of payments made by the defendant.

Either party may file.

Official instructions

How-to guides published by the court for this form.

Common questions

Who fills out this form?: The form has spaces for the victim's name and signature, and the person submitting it fills out the 'From' line.
What is this form asking for?: It is asking the Clerk of the Sentencing Court to provide the defendant's Payment History.
Does this form mention any fees?: The provided text does not mention any filing fees.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect July 30, 2018.

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