The Lane County Check Enforcement Program requires that Victims register with our office. This information helps speed up processing of checks and helps assure the prompt and accurate transmittal of recovered funds. Please take a few minutes to complete the form below so that we can update our records. 

Thank you for your help.

Business or Individual Information – Please include your company name as well as the division or store name that applies to your particular location. Include a contact person’s name and phone number. If more than one person is responsible for bad checks in your organization, include that person’s name also.

NOTE: This information is to be used only by the District Attorney’s Office and its agents for the purpose of managing bad checks that have been turned over to the District Attorney’s Office.

Business or Individual Information:

Business or Individual's Name:   

Division, Store Number, or Location:

Address:

City:    State:   Zip:

Primary Contact:

Phone:   Fax:

Amount of Bank Service Charge your business pays for each dishonored check: $

Number of cash registers for which you will need Notification Signs:

Approximate number of bad checks you receive per year:

If several business locations are involved, please fill out this form for each of them.

Central Location Information:

Many companies work through a central office. If that is true for your location, please include this information. Special handling requests should also be included. We will do our best to comply, but we cannot guarantee all requests can be honored.

Location Name:

Primary Contact:

Address:

City:    State:   Zip:

Phone:   Fax:

Send the Following to the Central Address Location:

Victim Confirmation - acknowledging receipt of bad checks for processing.

Restitution - Restitution checks and confirmation letters.

Finalization Notice - Notices of checks returned as uncollectible, cases resolved or otherwise finalized.

Other - Miscellaneous communications.

     Specify:

Special handling requests:

Merchant’s Agreement:

Any merchant or individual who receives an "Insufficient Funds," "No Account," "Account Closed" check may use the District Attorney’s Check Enforcement Program. The Program is completely funded by the check offenders. 

1) The District Attorney's Check Enforcement Program is a Diversion Program which offers the check writer a chance to pay the checks and fees prior to going to prosecution.

2) If a check is not honored by the bank, you must contact the check writer by mail.

3) Check writers must be allowed fifteen (15) days to comply by paying the full amount of the dishonored check plus a service fee.  If the check writer fails to comply within the allowed 15 day period, you may immediately turn the check - any supporting information - over to the Check Enforcement Program.

4) To refer a check to the Check Enforcement Program, you must fill in the Check Complaint form and attach it to the original check and forward it within 90 days of receiving the check to:

                District Attorney's Office

                Check Enforcement Program

                125 East 8th Ave - Room 400

                Eugene, OR 97401-2926

5) Once a check has been turned over to the Check Enforcement Program, you cannot accept payment or restitution on the bad check directly from the offender.  Restitution and appropriate fees can only be paid to the Check Enforcement Program.  The offender who wishes to pay on a check which has been sent to the Program should be directed to call 1-888-628-7686.

6) Failure to abide by this agreement may result in the discontinuance of a merchant’s or individual’s participation in the Check Enforcement Program.

7) This agreement may be amended from time to time by the District Attorney and such amendments will be effective upon mailing of a notice to the undersigned party.

8) Direct all inquiries about the check(s) that you submit to the Check Enforcement Program 1-888-628-7686 or  write to the District Attorney's Check Enforcement Program, 125 East 8th Ave-Room 400, Eugene, OR 97401-2926.

The undersigned acknowledges that the Lane County District  Attorney’s Check Enforcement Program is a voluntary program provided by the Lane County District Attorney’s Office.  No liability is assumed by the above parties in connection with this program nor are said parties guaranteeing the payment of restitution of any amounts for the offender. The only remedy will be to request return of the check from the program.

  I agree to Merchant Agreement and have read the terms set forth.

  I do not agree to Merchant Agreement and the terms set forth.