Get Uncashed Benefit Payment Check Or Unclaimed Electronic Benefit Payment Claim Form (de 903)

Filling out the Uncashed Benefit Payment Check Or Unclaimed Electronic Benefit Payment Claim Form (DE 903) online can be a straightforward process if you follow the right steps. This guide will help you navigate through each section of the form with ease and confidence.

Follow the steps to successfully complete the claim form online.

1. Click ‘Get Form’ button to access the form and open it in the editor.
2. Complete the claimant information section by providing your last name, first name, middle initial, address, city, state, ZIP code, and phone number.
3. Fill out the attorney or representative information if applicable. Include their last name, first name, middle initial, address, relationship to you, city, state, ZIP code, and phone number.
4. In the claim information section, identify the type of benefit payment you are claiming—either Unemployment Insurance, Disability Insurance, or Paid Family Leave.
5. Indicate whether your claim pertains to an uncashed check by selecting 'Yes' or 'No'.
6. If applicable, provide the name on the check, ensuring the exact spelling is used.
7. Enter the dollar amount of the check.
8. Specify if you possess the original check by selecting 'Yes' or 'No'. If 'Yes', attach copies of both the front and back of the check.
9. Indicate if you are claiming an unactivated EDD Debit CardSM by selecting 'Yes' or 'No'.
10. Answer if you have received a notice from Bank of America regarding the EDD Debit CardSM.
11. Provide the name on the notice from Bank of America with correct spelling.
12. Enter the dollar amount of the benefit payment referenced in the notice.
13. Describe the issue you are facing regarding the uncashed check or unclaimed payment.
14. Read the declaration statement carefully before signing.
15. Sign the form by the claimant or representative and include the date.
16. After completing all sections, save any changes, and proceed to download, print, or share the form as necessary.

Complete your Uncashed Benefit Payment Check Or Unclaimed Electronic Benefit Payment Claim Form (DE 903) online now for a smoother process.