Eaton County, MI · Eaton County

No notary required

Electronic Funds Transfer Complaint Sheet

Merchants use this complaint sheet to report a dishonored bank draft to the Eaton County Prosecutor’s Office Economic Crimes Unit.

At a glance

Issued by
City of Eaton County · Eaton County, Eaton County, Michigan
Notarization
Not required: file this form without a notary.
Official source
eatoncounty.org
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Merchants use this sheet to report a dishonored bank draft to the Eaton County Prosecutor’s Office Economic Crimes Unit. The directions say to complete one sheet for each draft after mailing the drawer a notice letter and receiving no response after ten days. It asks for draft details, business and drawer information, identification and witness details, and the date the notice was sent.

Who needs it

A merchant seeking to report a dishonored bank draft after sending the drawer a notice letter and receiving no response after ten days should complete this sheet.

How to submit it

Attach a copy of the notice letter and any other paperwork about the dishonored draft. Mail or fax the requested items to the Eaton County Prosecutor’s Office, Economic Crimes Unit, 5330 W. Saginaw Hwy., Lansing, MI 48917; fax (517) 543-4846.

About notarization

This complaint sheet is signed and dated without a notary; the form requests a witness signature if possible, but does not ask for a notarized or sworn attachment.

How to submit this form

  1. 1

    Download the Complaint Sheet

    Download the Electronic Funds Transfer Complaint Sheet.

  2. 2

    Complete One Sheet per Draft

    Enter the draft, business, drawer, notice, and witness information requested on the sheet.

  3. 3

    Gather Supporting Paperwork

    Attach a copy of the notice letter and any other paperwork about the dishonored bank draft.

  4. 4

    Mail or Fax the Materials

    Send the sheet and attachments to the Economic Crimes Unit by mail or fax using the contact details on the form.

Frequently asked questions

Who completes the Electronic Funds Transfer Complaint Sheet?
A merchant completes one sheet for each dishonored bank draft after mailing the drawer a notice letter and receiving no response after ten days.
What should I attach to the complaint sheet?
Attach a copy of the notice letter and any other paperwork regarding the dishonored bank draft.
Do I need a notary for the Electronic Funds Transfer Complaint Sheet?
No. The form is signed and dated without a notary. It requests a witness signature if possible, but does not require a notarized or sworn attachment.
How do I submit the complaint sheet?
Mail the sheet and attachments to the Eaton County Prosecutor’s Office, Economic Crimes Unit, 5330 W. Saginaw Hwy., Lansing, MI 48917, or fax them to (517) 543-4846.

Need something notarized?

This Electronic Funds Transfer Complaint Sheet doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.