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 Generals 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

Applicants Street Address

Attorneys Street Address

City

State

Zip code

City

State

Zip code

Applicants telephone number

If additional pages are used, sign the last page.

Attorneys telephone number

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