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Lost Check Affidavit Direction: Please complete a Lost Check Affidavit form for each refund in question and submit to the appropriate office for processing. You will be notified by your CCS Email

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How to fill out lost check affidavit

How to fill out a lost check affidavit:

01

Obtain the necessary form: Contact your bank or financial institution to request a lost check affidavit form. They will provide you with the appropriate documentation required for this process.

02

Basic information: Start by filling out your personal details such as your name, address, phone number, and any other identifying information requested on the form. Ensure that all provided information is accurate and up-to-date.

03

Lost check details: Specify the details of the lost check, including the check number, date it was issued, and the exact amount written on the check. This information will help in tracking the lost or stolen check.

04

Circumstances of loss: Explain in detail how you lost the check or why you believe it to be stolen. Provide any supporting evidence or relevant information that can support your claim.

05

Account information: State the account the lost check is associated with, providing the account number and any other relevant banking details requested on the form.

06

Statement of loss: Sign a statement confirming the loss or theft of the check. This statement typically includes your acknowledgment that you will bear the financial responsibility if the lost check is ever found or cashed.

07

Submission: Once you have completed all the required sections, make sure to review the form for accuracy. Attach any necessary supporting documents or identification as requested by the bank. Finally, submit the completed lost check affidavit to your bank or financial institution according to their instructions.

Who needs a lost check affidavit:

01

Individuals who have misplaced or lost a check issued to them.

02

Those who suspect their check has been stolen or fraudulently cashed.

03

Anyone who needs to report the loss of a check and protect themselves from potential financial liability.

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What is lost check affidavit?

Lost check affidavit is a legal document used to report a lost or misplaced check and request a replacement.

Who is required to file lost check affidavit?

Anyone who has lost a check issued to them and needs a replacement is required to file a lost check affidavit.

How to fill out lost check affidavit?

To fill out a lost check affidavit, you will need to provide details about the lost check such as the check number, date issued, amount, and reason for the loss. You may also need to include your contact information.

What is the purpose of lost check affidavit?

The purpose of a lost check affidavit is to formally request a replacement for a lost or misplaced check.

What information must be reported on lost check affidavit?

The lost check affidavit must include details such as the check number, date issued, amount, reason for loss, and contact information of the person filing the affidavit.

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