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Crime Victim Restitution Amount Summary Form (Arabic)

Ohio · Supreme Court of Ohio

This form is a summary sheet used to gather information about money a victim of a crime might be owed for losses. It helps organize details about damaged or stolen property and medical bills.

Open the official PDFfrom Supreme Court of Ohio

Where this fits in a case

Motions

Stage: Motions

This form is used to collect information to help present a claim for compensation after a criminal conviction or a court decision.

Either party may file.

Common questions

What is the purpose of this form?
The form is meant to help gather information to figure out the value of economic losses for compensation. It is not meant to be filed with the court itself.
What kinds of losses can be included?
It covers things like the cost to repair or replace stolen/damaged property, medical expenses, and other costs.
Who needs to submit this form?
The victim, the victim's representative, or the victim's lawyer are responsible for submitting all the documents to the assigned prosecutor or lawyer.

Revision history

No changes recorded since we started tracking this form on October 10, 2026.

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