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 Oender 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, PO Box 246570, Pembroke Pines, FL 33024
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 one’s name and ID are entered correctly on the
Money Order Deposit Form.
Money orders will not be processed without a valid email and
mailing address.
✁
✁
✁
Mail to: JPay, PO Box 246570, Pembroke Pines, FL 33024
Money Order Amount – maximum $999.99
Oender’s ID Number
Oender’s State
Oender’s Full Name (Last, First)
GA
ALL FIELDS REQUIRED
Your Last Name (Person Making Payment)
Your Address
Institution
Your Phone Number (Person Making Payment)Your First Name (Person Making Payment)
1
3
4
2
Your City Your State Your Zip
Your Email
Money Order Deposit Form
FOR OFFENDER DEPOSITS ONLY
Money Order Deposit Slip
FOR OFFENDER DEPOSITS ONLY
A Securus Technologies Company
HOW TO SEND
A MONEY ORDER
You must be on your loved one’s
Approved Senders List to send money
JPay is licensed as a Money Transmitter by the Georgia Department of Banking and Finance #926932
There is no fee for sending money through money orders
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
* Some facilities do not process on holidays and weekends. Delivery timing subject to depositor verication
DID YOU
KNOW?
Money orders can take
days to mail and process?
www.JPay.com
Sign up for free
JPay Mobile
Android and iPhone
There’s a Better Way.
Send money without a money order – and get the funds there the next day!*
800-574-5729
Toll-free, 24/7
Cash at MoneyGram
(Receive code 6857)
You must be on your loved one’s
Approved Senders List to send money
Your Date of Birth (MM DD YYYY)
In the event you initiate a stop payment on this money order, you will be responsible for reimbursing
JPay for any bank fees or insucient fund charges incurred as a result of the stop payment.
