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AO 213R

Electronic Payment Information Request for Restitution Payees

Federal · United States Courts · Effective July 15, 2026

This form is used to give the court information needed to send money electronically to people who are owed money as restitution. It asks for bank details, payee names, and signatures to authorize the payment.

Open the official PDFfrom United States Courts

Where this fits in a case

General & info

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

This form is used when the court needs to send out electronic payments for restitution. The payee must send the completed and signed form, along with bank proof like a voided check, to the correct clerk's office.

Either party may file.

Common questions

Who needs to sign this form?
All named payees, or the authorized representatives for the payees, must sign the form. This signature confirms that the information given is true.
What documents should I send with this form?
You must send the completed and signed form along with either a voided check or an official bank letter/statement, if that applies to you.
Can the money be sent to someone who is not listed on the case?
No, the funds cannot be sent to a third party; the bank account must belong to at least one of the payees listed on the case.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect July 15, 2026.

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