Complete the Money Order Deposit Slip at the bottom by
typing or printing in blue or black ink
Make the money order payable to JPay.
You can include the inmate name & ID on the memo or used for line
We recommend using US Postal Money Orders
Place the money order and the deposit slip in an envelope
Mail to: JPay, 2202 South Figueroa St., Box #3001,
Los Angeles, CA 90007
All elds must be completed and legible to avoid a delay in processing this money order.
Do not include any letters or notes with your payment because these will be discarded.
Verify that your loved ones name and CDCR ID are entered correctly on the money order deposit slip.
Money orders will not be processed without a valid email and mailing address.
Money Order Deposit Form
Money Order Deposit Slip
Mail to: JPay, 2202 South Figueroa St., Box #3001, Los Angeles, CA 90007
Money Order Amount – maximum $999.99
CDCR ID Number
Your Date of Birth (MM DD YYYY)
Inmates Full Name (Last, First)
Inmates State
CA
ALL FIELDS REQUIRED
Your Last Name (Person Making Payment)
Your Address
Institution
Your Phone Number (Person Making Payment)Your First Name (Person Making Payment)
FOR INMATE TRUST FUNDS ONLY
FOR INMATE TRUST FUNDS ONLY
1
3
4
2
Your City Your State Your Zip
Your Email
A Securus Technologies Company
HOW TO SEND
A MONEY ORDER
All deposits are subject to Restitution unless specically exempt from Restitution, per Title 15, Section 3097.
In addition to money orders, personal checks and cashier’s checks are also accepted.
Personal checks will be held for ten (10) days before being deposited into the inmates account.
There is no fee for sending money via money order, personal checks, or cashiers checks.
Visit JPay.com/LegalAgreementsOut.aspx for Payments Terms of Service. All approved money orders will
be processed within ten (10) business days following receipt by JPay. A JPay account is not needed to send
money orders. Please call 800-574-5729 if you need more information or assistance completing this form.
JPay is not responsible for money orders lost in the mail or otherwise lost in transit, or for money
orders which did not reach the intended recipient for reasons beyond our control. If JPay receives a
money order and there is a problem with the deposit, JPay will mail the money order and deposit slip back
to the address provided on the deposit slip.
Things to know
In the event you initiate a stop payment on either money orders or personal checks, you will be
responsible for reimbursing JPay for any bank fees or insucient fund charges incurred by JPay as
a result of the stop payment.
* Some facilities do not process on holidays and weekends. Delivery timing subject to depositor verication
DID YOU
KNOW?
Money orders can take
days to mail and process?
www.JPay.com
Sign up for free
JPay Mobile
Android and iPhone
Theres a Better Way.
Send money without a money order – and get the payment posted the next day!*
800-574-5729
Toll-free, 24/7
Cash at MoneyGram
(Receive code 6141)