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Get the free OHSU Statement for securing payment of a lost, stolen or destroyed check - ohsu

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This document serves as a declaration by the owner of a lost, stolen, or destroyed payroll check to obtain a duplicate check from the Payroll Office of Oregon Health & Science University.
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How to fill out ohsu statement for securing

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How to fill out OHSU Statement for securing payment of a lost, stolen or destroyed check

01
Obtain the OHSU Statement form from the OHSU website or financial office.
02
Fill in your personal details, including your name, address, and contact information.
03
Provide details of the lost, stolen, or destroyed check, including check number, amount, and the date it was issued.
04
Indicate the reason for the request and sign the form where indicated.
05
Submit the completed form through the designated method, either in person or via email/fax to the appropriate department.

Who needs OHSU Statement for securing payment of a lost, stolen or destroyed check?

01
Individuals who have lost, had stolen, or destroyed a check issued by OHSU and need to secure a replacement payment.
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The OHSU Statement for securing payment of a lost, stolen or destroyed check is a formal documentation process that allows individuals to request the reissuance of funds in the event that their check has been misplaced, unlawfully taken, or rendered void.
Any individual or entity that has lost, had stolen, or destroyed a check issued by OHSU is required to file the OHSU Statement for securing payment.
To fill out the OHSU Statement, individuals must provide their personal information, details about the check including its amount, date of issuance, check number, and the circumstances regarding the loss, theft, or destruction of the check.
The purpose of the OHSU Statement is to formally declare the status of the check, allowing for the secure reissuance of funds while protecting against fraudulent claims.
The information that must be reported includes the individual's name, contact information, the check number, the date the check was issued, the amount of the check, and a description of how the check was lost, stolen, or destroyed.
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