Notice of Withdrawal of Intent to Pursue Collection by Victim
Colorado · Colorado Judicial Branch · Effective July 1, 2023
This form is used by a victim to tell the court that they are taking back their effort to collect money owed to them as restitution. It confirms details about the original restitution order and the current amount owed.
Where this fits in a case
MotionsStage: Motions
This form is used by a victim in a criminal case to formally notify the court that they are withdrawing their personal effort to collect restitution money.
Either party may file.
Common questions
- Who fills out this form?
- The person who is the victim and is withdrawing their intent to collect the money fills out this form.
- Does filing this form mean the victim never gets paid?
- The form states that after filing, the Collections Investigator and the Department of Corrections will continue to try and collect the restitution money.
- What must the victim do after filing this form?
- The victim must notify the collections investigator if the defendant files for bankruptcy within ten days of receiving notice.
Revision history
No changes recorded since we started tracking this form on October 10, 2026. The current version took effect July 1, 2023.
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