Clerk of Court Cover Letter (Restitution Lien)
Arizona · Arizona Judicial Branch · Effective July 30, 2018
This form is a cover letter that a victim uses to file a Restitution Lien with the Clerk of Court. It tells the court that the victim is filing the lien against the defendant in a specific case.
Where this fits in a case
General & infoInformation / general use — not tied to one step of a case
This form is used by a victim who is filing a Restitution Lien after a case has been processed. The letter includes instructions about who needs to sign the lien and how many copies to send to the court.
Usually filed by the person starting the case.
Official instructions
How-to guides published by the court for this form.
Common questions
- Who fills out this form?
- A victim who is filing the Restitution Lien fills out this form. The letter is addressed to the Clerk of Court.
- Is there a filing fee for this lien?
- The form states that there is no filing fee or any other charge for this type of lien, according to ARS § 13-806(A).
- What does the victim need to do when filing?
- The victim must make four certified copies of the lien and mail them to the address listed in the enclosed self-addressed, stamped envelope.
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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