Get the free Lost Check Affidavit - Office of the Controller

CITY AND COUNTY OF SAN FRANCISCO PAYROLL/PERSONNEL SERVICES DIVISION Lost Paycheck Affidavit EMPLOYEE INFORMATION LOST PAYCHECK INFORMATION NAME CHECK NUMBER ADDRESS NET AMOUNT DEPARTMENT NAME DEPARTMENT

How to fill out lost check affidavit

How to fill out lost check affidavit

1. Obtain a copy of a lost check affidavit form from the bank or financial institution.
2. Read the instructions and requirements mentioned on the form carefully.
3. Provide your personal details such as name, address, contact information, and account number.
4. Specify the details of the lost check, including the check number, date, and amount.
5. Explain the circumstances under which the check was lost or misplaced.
6. Include any supporting documents or evidence that may help in proving the loss of the check, such as a police report or witness statement.
7. Review the completed affidavit form to ensure all information is accurate and complete.
8. Sign and date the form, and make a copy for your records.
9. Submit the completed affidavit form to the bank or financial institution as per their instructions.
10. Follow up with the bank or financial institution to track the progress of the case and take necessary steps to prevent any unauthorized use of the lost check.

Who needs lost check affidavit?

1. Anyone who has lost a check issued to them and wants to report the loss to their bank or financial institution.
2. People who suspect that the lost check may have been stolen or used fraudulently.
3. Individuals who want to prevent others from cashing or depositing the lost check without proper authorization.
4. Beneficiaries of the lost check who need to establish a record of the lost or stolen payment.
5. Customers who want to protect themselves from potential financial loss and ensure that the lost check is not honored if presented for payment.

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