Indiana Code Title 24. Trade Regulation § 24-10-1-3

(1) subject to IC 24-10-2-2(b), is filed with the office on a form prescribed by the office;

(2) is based on a court order that:

(3) identifies each qualifying individual who:

(4) attests that the party ordered to pay the restitution has not paid the full amount ordered with respect to each qualifying individual identified under subdivision (3);  and

(5) seeks payment from the fund of any amount of the restitution:

with respect to each qualifying individual identified under subdivision (3).