Get Checkpay Payment Adjustment Form

Filling out the Checkpay Payment Adjustment Form online is a straightforward process that helps in making necessary adjustments to your previously transmitted payments. This guide provides clear, step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to complete the form correctly.

1. Click the ‘Get Form’ button to obtain the Checkpay Payment Adjustment Form and open it in your preferred editor.
2. Enter your agent information, including your terminal ID, phone number, and the name of the person at the agent location requesting the adjustment. Don't forget to include your signature.
3. Provide payment information by filling out the date of payment, transaction reference number (if available), the biller and processed account number, and the amount of payment.
4. In the request information section, indicate the correct account number and the correct biller. If you are making an adjustment to contracted or authorized payments, specify the correct amount.
5. If applicable, check the box to cancel a payment and provide a reason for the cancellation. Be sure to enter the customer's name and address, as this is a required field.
6. Attach a copy of the receipt if available. If not, fill out the necessary payment information carefully.
7. Review all the entered information for accuracy. Make necessary adjustments before finalizing the form.
8. Once completed, save your changes. You can choose to download, print, or share the form as needed.

Complete your Checkpay Payment Adjustment Form online today to ensure your payment adjustments are processed promptly.