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Your request for restitution collection and disbursement regarding an offender in a state prison is subject to review and will be either approved or denied by the California Department of Corrections and Rehabilitation, Office of Victim and Survivor Rights and Services. Unauthorized access, misuse, and attempts to change information on this website are strictly prohibited and may subject you to criminal prosecution and/ or civil liability. The information required on this form is necessary to process your request for restitution collection and disbursement. Failure to provide any of the information requested may prevent the Office of Victim and Survivor Rights and Services from processing your request. Any questions can be directed to our office, toll free, at (877) 256 - 6877.

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