E-File a Restitution Statement

Restitution Statement

Fields marked with a * are required.

SUBMIT A RESTITUTION STATEMENT TO THE TUSCALOOSA COUNTY DISTRICT ATTORNEY'S OFFICE

     Please complete the following form and click the <SUBMIT> button.  If you require any assistance or have any questions, please don't hesitate to call the Tuscaloosa Co. District Attorney's Office at (205) 349-1252.  A hardcopy of this form may also be downloaded elsewhere on this website, picked up at our office, or can be mailed/e-mailed to you upon request.

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RESTITUTION STATEMENT

IN THE CIRCUIT COURT FOR THE SIXTH JUDICIAL CIRCUIT,
TUSCALOOSA COUNTY, ALABAMA

I am the victim in the below referenced case. I hereby request that the Court enter an Order of Restitution for the losses or damages suffered due to the Defendan'ts criminal activity or conduct. The following list of losses DOES NOT include any property or expenses already recovered by me from the Defendant.

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Please enter "0" in any expense fields where you have not incurred a loss.
Fields marked with * are required.

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Please remember to subtract the amount of any insurance payments from the TOTAL.

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VICTIM CONTACT INFORMATION

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Pay Court-Ordered Restitution, Fees, Fines & Court Costs and Worthless Checks ONLINE

FILE A RESTITUTION STATEMENT ONLINE