Woodbridge Township, MT · Middlesex County
Bad Check Complaint Statement
This statement form is for a person seeking issuance of a criminal complaint for a bad check and must be completed for each check.
What this form is
Use this statement to provide information about a check and the circumstances in which it was given when seeking issuance of a criminal complaint. The form asks for details about the accused, the check, witnesses, identification, and any goods or payment exchanged. It says to complete a separate form for each check and submit the original check to the police department.
Who needs it
A person seeking issuance of a criminal complaint for a bad check should complete a separate statement for each check.
How to submit it
Complete the statement for each check and submit the original check to the police department. The document gives no submission address or other contact details.
About notarization
This document is signed and dated without a notary; it lists no attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download The Statement
Download the Bad Check Complaint Statement PDF.
- 2
Complete The Form
Fill in the requested information about the accused, check, circumstances, witnesses, and any exchange or payment.
- 3
Gather Attachments
Attach a copy of a photograph or sales slip or invoice if applicable, as directed by the form.
- 4
Submit To The Police Department
Submit the completed statement and original check to the police department.
Frequently asked questions
- Do I need a notary for the Bad Check Complaint Statement?
- No. This document is signed and dated without a notary, and it lists no attachment or related step that must be notarized or sworn.
- How do I submit the Bad Check Complaint Statement?
- Complete a separate statement for each check and submit the original check to the police department. The document does not provide an address or other contact details.
- What information does the statement request?
- It asks for information about the accused, the check, where and when it was given, witnesses, identification, and any goods or payment exchanged.
- Do I need to submit the original check?
- Yes. The document states that the original check must be submitted to the police department and that a separate form must be completed for each check.
Need something notarized?
This Bad Check Complaint Statement doesn’t need a notary — but if you have another Woodbridge Township form that does, a commissioned online notary can help.