Online Check Form

Oregon Dishonored Check Law

(1) In any action against a maker of a dishonored check, a payee may recover from the maker statutory damages in an amount equal to $100 or triple the amount for which the check is drawn, whichever is greater. Statutory damages awarded under this subsection are in addition to the amount for which the check was drawn and may not exceed by more than $500 the amount for which the check was drawn. The court shall allow reasonable attorney fees at trial and on appeal to the prevailing party in an action on a dishonored check and in any action on a check that is not paid because payment has been stopped.
Client Name (your account)
Address
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Account Number
Bank Name (your bank)
Bank Address
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Bank Zip Code
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Bank Fraction Number
Bank Routing Number
Your Check Number
Check Amount
Check Date
Check Memo/Invoice #
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