Bad Check Crime Report Template - York County District Attorney Page 2
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2For additional information and crime reports:
Sample “Courtesy Notice”
Date
Dear Check Writer:
You are hereby notified that a check numbered______ in the face amount of $________, issued by you on _________drawn upon __________ bank, and
payable to ___________, has been dishonored. You have 10 days from receipt of this notice to tender payment of the full amount of such check plus a service
fee of $_______, the total amount due being $_________.
Unless this amount is paid in full within the time specified above, we may turn over the dishonored check and all other available information relative to this
incident to the York County District Attorney’s Office for potential criminal prosecution.
Closing,
Your name/address
Service Fee
Per Pennsylvania Consolidated Statute 4105(e-3), the maximum fee that may be charged for a return check is $50.00. If you charge a fee, (to
recover postage and other handling costs) that fee and the return check fee your bank charges constitutes your service fee and may not exceed
$50.00. You must have a written notice of the service fee conspicuously displayed on the premises when check was issued (i.e. by your cash
register/checkout).
*The only exception is if the fee your bank charged exceeds $50.00, then you may recover the actual fee charged, but only that fee.
Bad Check Program Information
As a victim of a bad check you may file this report with the York County District Attorney, provided there is sufficient information, and that the check
meets all eligibility guidelines. The York County District Attorney’s Office will seek full restitution for victims whenever possible; however, please
keep in mind that the Bad Check Restitution Program can make no recovery guarantees. By submitting the check to the program you surrender
control of the check to criminal process and forego the opportunity to pursue civil debt collections.
Check writers are encouraged to make payments in full. Should a partial payment be received, the payment will be allocated between the victim and
the Bad Check Program. “Restitution” refers to the face value of all checks listed on this report along with all “stated” bank charges assessed by your
bank.
A check will be deemed ineligible and returned to you to pursue a civil remedy, if a filed check is later determined to be:
•
A stop payment check where the issuer acted in good faith and with reasonable cause in stopping payment,
•
A check issued by someone not competent or of legal age,
•
k
A check dishonored due to bank error or failure to notify the check writer of ban
adjustment of a check,
•
A check issued to pay an obligation arising from an illegal transaction.
What to do after my crime report is filed with the Program
•
Please do not accept direct payments from check writers. Should the check writer contact you to make payment, refer them to the Check Writer
Hotline at (866) 434-1440.
•
You may contact Victim Services for case updates at (866) 909-8431 anytime.
•
Please allow a minimum of 90 days to pursue restitution.
•
If the check writer does not comply with the Program, the case may be reviewed for possible criminal prosecution.
•
If we are unable to recover restitution and/or the check is not “eligible” for prosecution, you may request the check(s) be returned to pursue a
civil remedy.
Filing Instructions
1.
Fill out Crime Report completely or go to for electronic filing (requires scanner).
2.
Attach copies of original or legal copies of all checks (including front and back of checks) and all supporting documents such as CERTI-
FIED MAIL RETURN RECEIPT OR UNDELIVERED LETTER, COPY OF “COURTESY NOTICE,” “RETURN ITEM” NOTICE
FROM THE BANK (WITH FEES).
3.
Mail Bad Check Crime Report and all other correspondence to:
Victim Services, Inc. Mail Processing York County Bad Check Restitution Program
P.O. Box 1417, Lancaster, PA 17608-1417
4.
Once a report has been filed: ALL restitution payments must be coordinated by the District Attorney’s Office. Should the check writer
contact you to make payment, direct them to the Bad Check Restitution Program at (866) 434-1440.
DO NOT ACCEPT PAYMENT DIRECTLY FROM CHECKWRITER.
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