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  • State Agency Trust Check Replacement Application Std 805a

Get State Agency Trust Check Replacement Application Std 805a

Print STATE OF CALIFORNIA Clear STATE AGENCY TRUST CHECK REPLACEMENT APPLICATION (Executed WITHIN the State of California) STD. 805A (REV. 9/2001) CHECK IDENTIFICATION CHECK DATE CHECK AMOUNT PAYEE.

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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.

  1. Click ‘Get Form’ button to obtain the application and open it in the editing platform.
  2. 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.
  3. Provide the 'Return application to' section with the agency name and address where the application should be sent.
  4. In the 'Certification' section, complete the name and address details for the declarant. This section must clearly identify the person submitting the application.
  5. Indicate the circumstances under which the original check was lost or destroyed, including the date and brief explanation.
  6. 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.
  7. Review the indemnity agreement carefully, acknowledging the terms that the declarant or the organization agrees to indemnify and hold harmless the State.
  8. 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.
  9. 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.

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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!

How long does it take Ihss to mail a check? The facility sends a request to the State Controller, who then issues your paycheck within two business days. At the same time, your next timesheet is created for you and mailed.

How to look up my W2 form and pay stubs for IHSS? You can request W-2 forms and pay stubs on IHSS-PAYROLL@SACCOUNTY.NET. Alternatively, you can send a postal mail to P.O. Box 269131 Sacramento, CA 95826.

What happens if my paycheck is lost in the mail? Providers should contact the county (IHSS Public Authority payroll department) and have them try to track the lost paycheck. The county will issue a replacement check and also a new timesheet if these documents are lost.

A Stop Payment Form can be submitted immediately at the appropriate DAAS office and a replacement check will be issued in four to six weeks. If the missing check is found or received AFTER a Stop Payment Form is submitted, DO NOT CASH because it is void.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232