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Signature Date Please return your victim impact statement to Crime Victim Services Unit 161 E. Michigan Avenue Battle Creek MI 49014 CALHOUN COUNTY PROSECUTOR S OFFICE RESTITUTION WORKSHEET Help us to get full restitution for you by completing and returning this form to our office within 14 days. Examples of expenses that may be recovered through restitution Medical/Dental expenses actually incurred and reasonably expected to be incurred Medication costs Physical therapy Occupational...
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