Financial Declaration for Restitution

If you are a defendant in a criminal case you might have to pay restitution. Restitution is a court-ordered payment to the victim of a crime. This money is meant to make the victim whole. The court will decide how much you must pay. You will need to complete a Financial Declaration for Restitution. Fill out this form before your sentencing hearing.

Fill out as much of the form as you can:

  • If you are unemployed, explain why
  • If your income changes every month, add up the total income for a year and then divide that by 12 to list a monthly amount
  • If you have expenses that change every month, add up the total expense for a year and then divide that by 12 to list a monthly amount

Give the completed form to your probation officer. If you don’t have one, give it to a court employee.

Section 77-38b-204.

  • 1129XX