Create a restitution log.

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Montana Legal Help Tools

Provided by the Montana Legal Services Association

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You must accept these Terms of Use before using this tool.

This site does not give legal advice. If you have additional questions, you should contact an experienced attorney.
This tool is not a substitute for receiving assistance from a lawyer.
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1. People without lawyers who access this site from a statewide legal aid website, pro bono website, or approved court website.
2. Government employees who provide social or legal services to low-income people and victims of crime.
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YesNo

Personal information

First name*

Middle

Last name*

Phone number

Enter your phone number if available.

Email address

Enter a valid email address if available.

Case information

What is the name of the person who committed the crime?*

Who is the prosecutor?

What is the Cause Number/Case ID?

Funeral expenses

Do you have funeral expenses?*

YesNo

Medical expenses

Additional help

Were you hurt or injured during the crime?*

YesNo

Mental health expenses

Did you seek or will you need mental health services as a result of the crime?*

YesNo

Stolen or lost property expenses

Was anything stolen from you?*

YesNo

Damaged property expenses

Did you have to repair, clean or replace something or will you need to?*

YesNo

Lost wages

Did you miss work from being injured? This included getting treatment for injuries.*

YesNo

This can include time that was taken off using Paid Time Off (vacation time, sick leave, personal leave, etc)

Lost wages (court attendance)

Did you miss work to go to court?*

YesNo

Lost wages (other reasons)

Did you miss work to participate in the investigation and prosecution of the crime (other than going to court)?*

YesNo

Lost wages (future)

Will you miss work in the future from your injuries?*

YesNo

Travel expenses (car travel)

Did you have to travel for court, to participate in the criminal court process or to get treatment for injuries, including mental health services?*

YesNo

Did you travel by car?*

YesNo

Travel expenses (other travel)

Did you have other travel expense? For example did you have to take public transit or fly to a different city for a surgery?*

YesNo

Moving expenses

Did you have to move because of the crime?*

YesNo

Safety expenses

Did you have to take additional safety precautions?*

YesNo

Loss of education

Did the victimization keep you from participating in school?*

YesNo

Other expenses

Additional help

This question is to account for other expenses that may not have been covered elsewhere in this interview. Note that not all costs might not be covered.

Did you have other expenses? (e.g. child care while at court.) *

YesNo

Workbook complete

Your workbook is now complete. Generate your completed workbook below for download or printing:

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Restitution Workbook

Workbook to track and determine an estimate for proposed restitution.

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This project was funded by the National Crime Victim Law Institute (NCVLI) under grant No. 2017-VF-GX-K130, awarded by the Office for Victims of Crime, Office of Justice Programs, U.S. Department of Justice. The opinions, findings, and conclusions or recommendations expressed in this project are those of the contributors and do not necessarily represent the official position or policies of the U.S. Department of Justice or NCVLI.