Application for Statement of Charges for Bad Check

Use this form to apply for charges against someone who has issued a bad check where there was an immediate exchange of good or services and a bank or institution refused to pay the check due to insufficient funds or when an account does not exist, is closed, or has a hold on it. NOTE: Payments under a contract, such as checks for rent, utilities, or car payments are not bad check violations. Debtors must be pursued through civil litigation in these instances. Check with the District Court commissioner to see if criminal charges can be initiated.