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Crime Victim Restitution Amount Summary Form (French)

Ohio · Supreme Court of Ohio

This form helps gather information needed to estimate financial harm after a crime. It is used to prepare for a hearing where the amount of money owed to the victim is decided.

Open the official PDFfrom Supreme Court of Ohio

Where this fits in a case

General & info

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

This form is used to collect details about losses, medical bills, and other costs after a crime has occurred and the person responsible has been found guilty.

Either party may file.

Common questions

Who should file this form?
The victim, the victim's representative, the victim's lawyer, or the person who survived the victim can use this form.
Does this form need to be filed with the court?
The form itself is not meant to be filed with the court. It must be given to the prosecutor in charge of the case or the victim's lawyer.

Revision history

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

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