Victim Loss Statement
State law allows the court to order restitution (repayment for a victim's losses) as part of the sentence of
any juvenile who is adjudicated of a crime. If you have losses due to crime (such as repair costs, medical
bills, stolen property, etc.) you must provide a Victim Loss Statement with information concerning the
losses incurred, including documentation of the amount of your losses.
You must include bills, receipts or estimates for damages under $150.00. Two estimates are needed for
damages exceeding $150.00. If there is no original receipt, a printout from the Internet of an identical or
similar item is acceptable. Please include only the cost of replacement (not upgrades).