CD-ROM — Transmittal Form - Instructions
Check Casher Report
Submit this form with your check casher information report data on a CD-ROM. Send only one
CD-ROM per check casher business. You must format the file as a .txt file and adhere to the
requested record layout. Go to ftb.ca.gov, search for check casher record layout. If the data does
not fit on one CD-ROM, use multiple CD-ROMs and label each disk. All files submitted on a CD-ROM
must be for the same calendar year. Complete this form accurately and submit it with your CD-ROM
to ensure proper handling.
Report for Calendar Year
Enter the calendar year of your reported transaction.
Part 1: Check Casher Information
Provide information about the check casher submitting the report. Enter the name of the business
exactly as it appears in the “A” record of the check casher CD-ROM.
FEIN: Nine-digit number the Internal Revenue Service assigned to you or your business.
SEIN: Eight-digit number the California Employment Development Department assigned to you
or your business.
DOJ Permit Number: Seven-digit permit number the Department of Justice assigned to you or
your business.
Part 2: Transmitter (Preparer) Information
The transmitter is the entity that prepares the CD-ROM. The check casher business, tax preparer,
third party transmitter, or a software provider can be a transmitter. If you use an entity, you have
authorized to submit your check casher CD-ROM to us. Enter the entity's information in Part 2.
Include the name of the person to contact if we experience media problems.
Part 3: Data Information
Check the box to show if you are providing an original or replacement disk. Enter the total number of
records on each CD-ROM.
Part 4: CD Labeling
Report only one check casher business per CD-ROM. Use a permanent marker to label each
of your CD-ROMs with the following information:
a. Check casher business name.
b. Transmitter name.
c. Type of information return you are submitting – Check Casher.
d. If you submit more than one CD-ROM for the same check casher business, list the
sequence numbers on the disk (e.g., 1 of 2, 2 of 2). If you submit only one disk list it as 1
of 1.
Record Maintenance
We recommend that you retain a copy of each transmittal and maintain your data for five years.
Customer Support
For further information about reporting check casher return information on a CD-ROM, call Data
Exchange Production Services at 916.845.3778 or email DESHELP@ftb.ca.gov.
FTB 3606 (REV 09-2011)