Belgrade, MT · Gallatin County
Request For Restitution
This form lets a person owed restitution in a Belgrade Police Department case document losses and swear that the information provided is true.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
This two-page request records a victim’s claimed losses connected with a Belgrade Police Department case or citation, including property damage or theft, medical expenses, repair costs, lost wages, and other expenses. The person owed restitution provides identifying details, itemized values, and a total loss, then swears the information is true. The form identifies police department or court completion; use it to present a restitution request in the case and attach additional pages or estimates if needed.
Who needs it
A person owed restitution for losses in a Belgrade Police Department case can use this form to itemize costs and provide a sworn statement.
Why it needs a notary
The form carries a jurat: the person owed restitution signs and swears before the notary that the information is true and correct to the best of their knowledge and ability.
How to get this notarized
- 1
Download the Form
Get the Request for Restitution from the Belgrade Police Department.
- 2
Fill In Your Losses
Provide the case and victim details, itemize costs, and total your losses. Attach additional pages or estimates if needed.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary for the form’s jurat.
- 4
Sign on Video
Wait to sign until the notary instructs you, then swear to the information during your video session.
- 5
Submit the Form
Submit the notarized request to the police department or court handling the case.
Preview the form
The blank PDF straight from Belgrade. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the Request for Restitution?
- Enter the case and victim details, list each loss and its value, and calculate the total. Sign and swear to the statement before the notary, then submit the form to the police department or court.
- Do I need to sign the form in front of a notary?
- Yes. The form includes a jurat stating that the signer swore to the truth of the information before the notary. Wait to sign until you are with the notary.
- Can I use an online notary for this form?
- Montana has authorized its notaries to perform remote online notarizations since 2019. A commissioned online notary can notarize your jurat by video; confirm with the city or town if unsure.
- What supporting information can I attach?
- The form provides fields for property, medical expenses, repair labor or services, lost wages, and miscellaneous costs. It also says to attach additional pages or estimates if needed.