Template: Request a non-payment certificate

The request must be addressed to the bank of the check issuer.

[Enter your first and last name, address and account number.]

To [place] , [date]

Subject: application for non-payment certificate

Madam

/

Dear

,

Check No.

NSF check number

an amount of

check amount

established by

first and last name of the check issuer

shot [ issuer's bank] has been rejected for more than 30 days for insufficient provision.

I would therefore ask you to send me a certificate of non-payment with a view to a possible seizure.

Cordially,

Verified 29 January 2020 - Directorate for Legal and Administrative Information (Prime Minister)

For details, please use the practical information sheets :

J'ai réalisé une démarche administrative

Je donne mon avis sur Services Publics +. L'administration concernée me répondra.

Je donne mon avis