Online Registration for Bad Check Program

The District Attorney's Bad Check, Check Enforcement Program requires that Victims register with our office. This information helps speed up processing of checks and helps assure the prompt and accurate transmittal of recovered funds. Please take a few minutes and complete this form so that we can have your information on file. This can be even before you have suffered loss.

Business or Individual Information

Please include company name as well as the division or store name that applies to your particular location. Include a contact person's name and phone number as well. These are required fields. If more than one person is responsible for bad checks in your organization, include the other person's contact information.
If your business has several locations, this form MUST be completed for each location.

PLEASE NOTE: This information is used only by the District Attorney's Office and its agents for the purpose of managing bad checks that have been turned over to the District Attorney's Office.

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Business or Individual Name *

Division, Store Number or Location

Street Address

City

State

Zip-Code

Primary Contact *

Contact Email

Phone Number *

Fax Number

Additional Contacts along with Phone Numbers for Each

Number of Cash Registers that Need Notification Signs

Approximate Number of Bad Checks Received per Year

CENTRAL LOCATION INFORMATION:

If your company has a central office location, please include this information. Special handling requests should also be included here. We will do our best to comply, but we cannot guarantee all requests can be honored.

Central Location Name

Central Primary Contact

Central Email Address

Central Street Address

Central City, State, Zip Code

Central Phone Number

Central Fax Number

Send the Following to the Central Location

Victim Confirmation - Acknowledging receipt of bad checks for processing

Restitution - Restitution check and confirmation letters

Finalization Notice - Notice of checks returned as uncollectible, cases resolved or otherwise finalized

Other Miscellaneous Communication

Specify which Communications Should Go to Central Location

Special Handling Requests

Leave this field blank

Contact Information

District Attorney’s Office
311 Fourth Street, Room 204
Yreka, CA 96097

8:00am to 12:00pm and 1:00 to 4:00pm
Regular Workdays

Victim Services
311 Fourth Street, Top Main Stairs
Yreka, CA 96097

8:00 am to 12:00 pm and 1:00 to 4:00 pm
Regular workdays

By Email: da@siskiyouda.org Note: May not get a reply for 48 hours

By Phone:  Main Office – 530-842-8125 when office is open
Victim Services - 530-842-8229 or 1-888-854-2000 ext. 8229
By Fax:  No services of process without prior written agreement with a specific attorney for a specific case.
Other purposes Fax:  530-842-8137

In an Emergency:
Call 911 - Local Law enforcement may contact employees of the Office of the District Attorney at their discretion.

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