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Crime Victim Restitution Amount Summary Form (Mandarin)

Ohio · Supreme Court of Ohio

This form is a summary sheet used to help gather information about economic losses after a crime. It asks for details about stolen or damaged property, medical bills, and other related costs to help calculate potential compensation.

Open the official PDFfrom Supreme Court of Ohio

Where this fits in a case

Hearing

Stage: Hearing

This form is used to help collect information that needs to be shown at a hearing for compensation after a crime has been proven. The information is given to the prosecutor assigned to the case.

Either party may file.

Common questions

Does this form go to the court?
No, this form is not for submitting to the court.
What kind of losses can be included?
It can include things like the cost of repairing or replacing stolen property, medical bills, and costs for things like psychological counseling.

Revision history

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

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