Please read the GUIDEBOOK before completing this form. Incomplete or submissions may be returned. Complete this form the first time you submit a check to the Bad Check Program unless you change your address.
(Not a Business) Complete the following:
Complete the Following
Note: If you have more than one location where checks are accepted, submit one VIF per store.
When we have questions about your checks or need to contact your company:
Restitution Checks Should be Made:
ONCE A CHECK IS SUBMITTED TO THE PROGRAM:
Avoid contact with the Check Writer. Do not accept any payments from the Check Writer.
Have the Check Writer contact the PCAO office for payment arrangements
Develop and post for employees and customers a check cashing policy that includes inspecting and recording Photo ID (Driver License or ID #) on every check.
Please sign acknowledging that you have read the information above:
Submit to PCAO Bad Check Program, 32 N. Stone Ave, 2nd Fl, Tucson, AZ 85701. Questions: (520) 724-4100