Get the free LCTCSPR16_Ed052112.LostPayrollCheckCertification - lctcs
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Use this form when a payroll or off-cycle check/EFT (Direct Deposit) has been lost, stolen or destroyed. It must accompany the Request for Stop Payment (LCTCSPR15) form.
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How to fill out LCTCSPR16_Ed052112.LostPayrollCheckCertification
01
Begin by downloading the LCTCSPR16_Ed052112.LostPayrollCheckCertification form from the official website.
02
Fill in your personal information, including your name, address, and Social Security number at the top of the form.
03
Provide details about the lost payroll check, including the date it was issued, the amount, and the check number if known.
04
Include a statement affirming that the check was lost and that you have not received payment for the wages covered by that check.
05
Sign and date the form at the bottom to certify that the information is accurate.
06
Submit the completed form to your employer's payroll department or the designated authority stated in your company's policy.
Who needs LCTCSPR16_Ed052112.LostPayrollCheckCertification?
01
Employees who have not received their payroll check due to loss or theft.
02
Individuals seeking to certify that they have not cashed a particular payroll check.
03
Workers who need to inform their employer about a lost paycheck to initiate a reissue.
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What is LCTCSPR16_Ed052112.LostPayrollCheckCertification?
LCTCSPR16_Ed052112.LostPayrollCheckCertification is a certification form used to report lost payroll checks and to initiate a replacement process for those checks.
Who is required to file LCTCSPR16_Ed052112.LostPayrollCheckCertification?
Employers who have issued payroll checks that have been lost or not received by employees are required to file this certification.
How to fill out LCTCSPR16_Ed052112.LostPayrollCheckCertification?
To fill out the form, provide details such as the employee's name, date of issuance, check number, and reason for the lost check, ensuring all required fields are completed.
What is the purpose of LCTCSPR16_Ed052112.LostPayrollCheckCertification?
The purpose of the certification is to officially document the loss of a payroll check and facilitate the reissuance of the check to the employee.
What information must be reported on LCTCSPR16_Ed052112.LostPayrollCheckCertification?
The required information includes the employee's identifying details, original check information (like check number and issue date), the reason for the loss, and any actions taken to resolve the issue.
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