- CDCR Victim Services Request for Unclaimed Restitution

SECTION A: APPLICANT INFORMATION

Choose one of the following (Required):

New Request for Unclaimed Restitution

Change of address/phone/e-mail

Person Requesting Unclaimed Restitution:

First Name (Required):

Middle Name:

Last Name (Required):

Address (current mailing):

Address (Required):

City (Required):

State/Other (Required):

Zip Code (Required):

Country (Required):

Contact Information:

Primary Phone No. (Required):

Secondary Phone No:

E-Mail

NOTE: It is your responsibility to keep the OVSRS informed of any changes to your contact information.
For additional assistance, please call 1-877-256-6877(toll free).