The Maryland Application for Statement of Charges Bad Checks Cont. Is a form used by individuals who have written a bad check in the state of Maryland. It is used to initiate the collection of funds from the recipient of the bad check and to assess any applicable fees or charges. The form consists of two parts: Part One is for a consumer to provide information about the check writer and Part Two is for a business to provide information about the transaction. The Maryland Application for Statement of Charges Bad Checks Cont. Can be used in two different ways: 1. Consumer Use: A consumer can use the form to initiate a claim against the check writer for the full amount of the check, plus any applicable fees or charges. 2. Business Use: A business can use the form to initiate a claim against the check writer for the full amount of the check, plus any applicable fees or charges, and to assess a fee for the collection of the funds. The Maryland Application for Statement of Charges Bad Checks Cont. Is available online at the official website of the Maryland Department of Labor, Licensing, and Regulation.