Case details
The case number, a vendor code reserved for the clerk's office if a record exists in the JIFMS accounting system, and the Victim Identification Number (VIN) if known.
AO 213R
Electronic Payment Information Request for Restitution Payees
- Agency
- U.S. Courts
- Revision
- Rev. 07/26
- Fillable fields
- 45
- Pages
- 2
- Official source
- U.S. Courts form page
- Checked
- October 20, 2026
AO 213R: Electronic Payment Information Request for Restitution Payees
AO 213R, Electronic Payment Information Request for Restitution Payees, is the form the Judiciary uses to collect payee information for electronic restitution payments. The instructions say it authorizes the Judiciary to make a payment or payments on behalf of the payees to the bank account entered. The U.S. Courts page lists it under Other Forms, effective on July 15, 2026, and the PDF is dated Rev. 7/26.
Page 1 asks for the case number and Victim Identification Number, then has five parts: payee information, mailing address, contact information, payment information and signatures. A vendor code and the address to send the form to are reserved for the clerk's office to fill in. Page 2 holds the General Instructions.
This page explains the form in plain words and is not legal advice. You can fill it out free in your browser on this page and download the result without an account.
What's on AO 213R
Part 1: Payee Information
The named payee or payees on the case, entered as listed on the order or judgment.
Parts 2 and 3: Address and contact
The primary mailing address, where P.O. Boxes are accepted, and a phone number and email address. With multiple payees, both belong to the primary owner of the bank account.
Part 4: Payment Information
The account owner names exactly as on the bank account, the bank name and phone, the account type, and the routing and account numbers, each entered twice.
Part 5: Signatures
All named payees sign. Under penalties of perjury, the signer confirms the information is true and correct and authorizes the Judiciary to make a payment or payments to the bank account.
Where to send it
A space at the bottom, reserved for the clerk's office, for the address to send the completed and signed form to, along with a voided check or official bank letter or statement if applicable.
How to fill out AO 213R
- 1
Enter the case number and VIN
The instructions say a payee who does not know the case number, or is named in multiple cases across multiple districts, can reach out to the local clerk's office for help. The VIN is provided by the Department of Justice.
- 2
Name the payees as on the judgment
Enter the named payee or payees as listed on the order or judgment. The instructions say separate, individual payments require a court order, and funds cannot be disbursed to a third party.
- 3
Add the address and contact details
Give the primary mailing address, a mobile or business phone number and an email address. With multiple payees, use those of the primary owner of the bank account.
- 4
Enter the bank details twice
The instructions say the routing number has nine digits and is entered twice, the account number is entered twice, and both are verified with the financial institution before submission.
- 5
Sign and send
All named payees or authorized representatives sign and date Part 5. The instructions say to send the form to the clerk's office where the criminal case is located, or to the local clerk's office if that is unknown.
Why fill Form AO 213R on indox
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Where it goes, fees and bank rules
Where it goes
The instructions say to send it to the clerk's office where the criminal case is located, or to the local clerk's office if the location of the case is unknown. The send-to address on the form is reserved for the clerk's office to fill in.
Fees
The form does not print a fee.
U.S. bank accounts only
The instructions say EFT payments are available only to bank accounts within the United States, and to contact the local clerk's office for information and authorization if payments need to go to a foreign account.
Bank verification
The instructions recommend, as optional, a voided check or official bank verification letter or statement showing the account holder's name, address, routing number and account number.
Changes
The instructions say the payee notifies the clerk's office of any changes that affect payment distribution, such as a name change or new bank account, and completes a new form.
Related forms
Who uses AO 213R?
The form is for payees named in a criminal case who receive restitution payments electronically. It names these people.
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Questions about Form AO 213R
Who fills in the vendor code?
The form says the vendor code is reserved for the clerk's office to populate, if a current record exists in the JIFMS accounting system.
What is the Victim Identification Number?
The instructions say the VIN is provided by the Department of Justice and allows access to the Victim Notification System, which provides case information and updates. It is entered if known.
Can restitution go to a foreign bank account?
The instructions say EFT payments are available only to bank accounts within the United States, and to contact the local clerk's office to request information and authorization for a foreign account.
Can joint payees receive separate payments?
The instructions say separate, individual payments require a court order. Otherwise EFT payments go to a single bank account owned by at least one of the payees listed on the case.
Why are the routing and account numbers entered twice?
The instructions call it two-pass verification, required to ensure accuracy and prevent errors, and ask payees to verify both numbers with the financial institution before submission.
Is a voided check required?
The instructions list it as optional and recommend a voided check or official bank verification letter or statement for accurate payment processing.
What if the bank account changes later?
The instructions say the payee notifies the clerk's office of any changes that affect payment distribution, and a new form is completed when the information changes.