The Washtenaw County Bad Check Restitution Program requires that victims register to participate in the program. 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 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 Prosecuting Attorney’s Office and its agents for the purpose of managing bad checks that have been turned over to the Prosecuting 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:

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:

1)  If you receive a check that is dishonored by the bank, you must first contact the check writer by certified mail, to demand payment of the check as well your posted service fee for handling returned checks.

2)  Check writers must be allowed five (5) days to comply by paying the full amount of the dishonored check plus your posted service charge for returned checks. If the check writer fails to comply, immediately refer the check - and all supporting information - to the Bad Check Restitution Program.

3)  To refer a check to the program you must complete a Check Complaint Form and attach the original check or a bank generated substitute check. Forward it within 90 days of the date of the check to the Bad Check Restitution Program.

4)  Dishonored checks may not first be submitted to a collection agency or other similar entities for collection before being submitted to the program. However, if the program is unsuccessful, you may wish to pursue civil remedies.

5)  Restitution for bad checks that are received will be mailed to you within seven days of the date restitution is received by the program.

6)  If the check writer does not comply with the requirements of the program, he or she faces potential prosecution. If this should be the case, you will be contacted about what action you may be required to take as part of that prosecution. However, not all checks qualify for prosecution.

7) Once a check has been turned over to the Bad Check Restitution Program, you may not commence civil legal proceedings in Court until the matter is deemed not prosecutable.

8) If the program is unable to secure restitution and the check does not meet the criteria for prosecution it will be held, inactive, at the program office unless the victim requests that it be returned. If additional checks from the check writer or subsequent new information are received the check case may be reactivated.

9) Checks submitted to the program must have verified identification. If proper ID cannot be established, a check may not qualify for inclusion in the program and/or prosecution. Such checks may be returned or held in an inactive status.

10) By signing and returning the attached Registration form, you acknowledge the requirements of the program and agree to abide by them. Failure to abide by this agreement may cause your participation in the program to be discontinued.

11) Any information that you submit about a check case is used only by the Prosecuting Attorney’s Office or its agents for the purpose of managing bad checks. 

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

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