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Get State Agency Trust Check Replacement Application Std 805a
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How to fill out the State Agency Trust Check Replacement Application Std 805a online
Filling out the State Agency Trust Check Replacement Application Std 805a online is essential for obtaining a replacement check in case the original has been lost or destroyed. This guide offers step-by-step instructions to ensure a smooth and successful application process.
Follow the steps to accurately complete the application online.
- Click ‘Get Form’ button to obtain the application and open it in the editing platform.
- Fill in the 'Check identification' section with the necessary information. This includes the check date, check amount, payee name, check number, drawn by agency, and account number.
- Provide the 'Return application to' section with the agency name and address where the application should be sent.
- In the 'Certification' section, complete the name and address details for the declarant. This section must clearly identify the person submitting the application.
- Indicate the circumstances under which the original check was lost or destroyed, including the date and brief explanation.
- If applicable, specify whether the declarant is an officer of a corporation or government agency, and include the corporation's name and title of the officer.
- Review the indemnity agreement carefully, acknowledging the terms that the declarant or the organization agrees to indemnify and hold harmless the State.
- Finally, ensure that the declaration is signed with the declarant's signature, title, date, and city in California where the application is being filled out.
- Once all sections are completed, you may save changes, download, print, or share the form as needed.
Complete your application online today and ensure a timely replacement for your lost or destroyed check.
Have questions or need help with a delayed IHSS paycheck or timesheet? If you have been waiting for more than 10 business days (not including weekend days or legal holidays), call the UDW Member Benefits Center at 1-800-621-5016, or you can call the CMIPS II help desk near you!
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