defendant (name):
was convicted of a crime that entitles the victim to restitution.
1.
was found to be a person described in Welfare and Institutions Code section 602,
which entitles the victim to restitution.
a.
b.
c.
On (date):
On (date): child (name):
Parents or guardians jointly and severally liable (name each):
Wardship is terminated.
d.
Co-offenders found jointly and severally liable (name each):
Evidence was presented that the victim named below suffered losses as a result of defendant's/child's conduct. Defendant/child
was informed of his or her right to a judicial determination of the amount of restitution and
2.
c.
a.
a hearing was conducted.
stipulated to the amount of restitution to be ordered.
waived a hearing.
b.
THE COURT ORDERS defendant/child to pay restitution to3.
the victim (name):
in the amount of: $
in the amount of: $
a.
c.
d.
b.
e.
the California Victim Compensation Board, to reimburse payments to the victim from the Restitution Fund,
plus interest at 10 percent per year from the date of
plus attorney fees and collection costs in the sum of:
plus an administrative fee not to exceed 15 percent of the restitution owed (Pen. Code, § 1203.1(l)).
sentencing.loss or
ORDER FOR VICTIM RESTITUTION
Penal Code, §§ 1202.4(f), 1203.1(l), 1214;
Welfare and Institutions Code, § 730.6(h), (i), (q);
Civil Code, § 1714.1; Code of Civil Procedure, § 674(a)(7)
www.courts.ca.gov
Form Approved for Optional Use
Judicial Council of California
CR-110/JV-790 [Rev. March 5, 2018]
Page 1 of 2
$
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
CASE NAME:
FOR COURT USE ONLY
CASE NUMBER:
ORDER FOR VICTIM RESTITUTION
CR-110/JV-790
ATTORNEY OR PARTY WITHOUT ATTORNEY:
STATE: ZIP CODE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
STATE BAR NO.:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
