Court of Claims of Ohio
VICTIMS OF CRIME DIVISION The Ohio Judicial Center 65 South Front Street, Fourth Floor Columbus, Ohio 43215 1.800.824.8263 www.cco.state.oh.us
Re:
Victim/Applicant Claim Number
Notice of Appeal from the Attorney General's Final Decision
NOTICE: If you wish to appeal, this Notice must be received by the Court of Claims of Ohio within thirty (30) days of the date printed on the Final Decision of the Attorney General. The address for the Court of Claims of Ohio is: The Ohio Judicial Center, 65 South Front Street, Fourth Floor, Columbus, OH 43215. If you do not wish to appeal, do not return this form to the Court of Claims.
I hereby appeal the Final Decision of the Attorney General. The reasons for this appeal are as follows:
Signature of Applicant
Attorney Name
Applicant's Street Address
Attorney's Street Address
City
State
Zip code
City
State
Zip code
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)
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Applicant's telephone number
If additional pages are used, sign the last page.
Attorney's telephone number
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