Madison County District Attorney's Office
Robert L. Broussard        
23rd Judicial Circuit      

Listed below are Worthless Check Unit forms available for download. The forms are in .doc format and can be opened with Windows WordPad, Microsoft Word or most any other word processing programs. Right click on the link and choose "save as". If you need further assistance with the forms, contact the WCU.
 
Statutory Notice

This is your first step. Use this form to give notification to the worthless
check writer. Send this via certified mail return receipt requested and allow ten days after writer signs the mail receipt before taking further action.
Download statutory-notice
 
Worthless Check Information Sheet

Prior to coming to the District Attorney's Office, you may complete this
information sheet regarding the worthless check incident.
Download info-sheet
 
Affiant Notice

You, the victim, must read and understand this notice before any action will
be taken.
Download affiant-notice