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AOCGN5F

Clerk of Court Cover Letter (Request for Pre-Conviction Restitution Lien)

Arizona · Arizona Judicial Branch · Effective July 30, 2018

This form is a cover letter that a victim uses to ask the court clerk to file a request for a lien for restitution before a person is convicted. It tells the clerk that the required lien document is enclosed for the judge to sign.

Open the official PDFfrom Arizona Judicial Branch

Where this fits in a case

Motions

Stage: Motions

This form is used by a victim in a criminal case to submit a Request for Pre-Conviction Restitution Lien to the court clerk.

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 involved in the case fills out this form. It is addressed to the Clerk of Court.
Does this form require a filing fee?
The letter states that there is no filing fee or other charge for this type of lien.
What should the victim include when filing this?
The victim must enclose the actual Request for Pre-Conviction Restitution Lien for the judge's signature, along with three total enclosures.

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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