Randolph County, IL · Randolph County
Bad Check Complaint Form
Victims of eligible returned checks use this form to submit a complaint to the Randolph County State’s Attorney’s Bad Check Restitution Program.
At a glance
- Issued by
- City of Randolph County · Randolph County, Randolph County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- randolphcountyil.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form lets victims of returned checks ask Randolph County’s State’s Attorney’s Bad Check Restitution Program to review a complaint for possible restitution and prosecution. Before filing, the complainant answers eligibility questions and confirms the check was presented as required. The form asks for information about the check writer, complainant, employee who accepted the check, and check, plus original checks and supporting documents.
Who needs it
A person or business seeking to report an eligible returned check to Randolph County’s State’s Attorney’s Bad Check Restitution Program should complete this form.
How to submit it
Mail the completed form to the Randolph County State’s Attorney’s Office, Randolph County Courthouse, One Taylor St., Chester, IL 62233. Attach original checks and supporting documents.
About notarization
This complaint is signed and dated without a notary; the form asks the complainant to certify the information as true but requires no notarized attachment.
How to submit this form
- 1
Download the Form
Download the Bad Check Complaint Form PDF.
- 2
Complete the Form
Answer the eligibility questions and provide the requested details about the check writer, complaining party, employee, and check.
- 3
Gather Attachments
Include original checks and supporting documents, such as certified mail return receipts, undelivered letters, or the bank’s return notice.
- 4
Mail the Complaint
Mail the signed form and attachments to the Randolph County State’s Attorney’s Office at the address listed on the form.
Frequently asked questions
- What is the Bad Check Complaint Form for?
- Victims use it to submit information about an eligible returned check to Randolph County’s State’s Attorney’s Bad Check Restitution Program for review.
- Do I need a notary for the Bad Check Complaint Form?
- No. The form is signed and dated without a notary. The complainant certifies the information as true, and no notarized attachment is required.
- How do I submit the Bad Check Complaint Form?
- Mail the completed form to the Randolph County State’s Attorney’s Office at the Randolph County Courthouse, One Taylor St., Chester, IL 62233, with original checks and supporting documents.
- What information and attachments does the form ask for?
- Provide details about the check writer, complaining party, employee who accepted the check, and check. Attach original checks and supporting documents, such as bank return notices or mailing records.