Get Lost Check Affidavit

Filling out a Lost Check Affidavit online can seem challenging, but with the right guidance, it can be a straightforward process. This guide will help you navigate each section of the affidavit clearly and effectively.

Follow the steps to complete the Lost Check Affidavit online

1. Click ‘Get Form’ button to obtain the Lost Check Affidavit form and open it in your preferred editor.
2. In the first field, please print your name legibly as it appears on your payroll records. Accurate identification is crucial for processing your request.
3. Next, enter your Employee ID number or the last four digits of your Social Security Number. This information will help verify your employment status.
4. Fill in the date of the payroll check(s) that you did not receive or have lost. This detail is essential for tracking the specific payment in question.
5. Indicate the department where you are currently employed. This assists in ensuring your request is directed appropriately.
6. Provide your contact phone number, enabling the Payroll Department to reach you if there are any questions regarding your affidavit.
7. Carefully read the declaration statement about the lost or unreceived check. By signing below, you confirm that the information you provided is accurate and agree to the related terms.
8. Sign and date the affidavit to complete your declaration. Your signature indicates your agreement to the terms outlined in the affidavit.
9. Choose your preferred option for receiving the replacement check. Indicate if you will pick it up or wish to have it mailed to you by providing the necessary address details.
10. Once you have filled out the form completely, you may save changes, download a copy, print it, or share it as needed. Ensure that the completed form is submitted through the specified channels to the Payroll Department.

Start filling out your Lost Check Affidavit online today to ensure a prompt resolution.