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CITY OF NASHUACITYNH FLEXIBLE BENEFIT PLAN ENROLLMENT FORM
PLAN YEAR: JULY 1, 2019, TO JUNE 30, 2020,
A. Please Print Clearly! Employee Informational:
Home Address:
Check if New: Social Security Number
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How to fill out check if new
01
Start by writing the date on the line provided at the top right corner of the check. Use the format MM/DD/YYYY.
02
On the 'Pay to the Order of' line, write the name of the person or company you are paying. Make sure to write it clearly and accurately.
03
On the line below the recipient's name, write the payment amount in numerical form. Be sure to write the amount using numbers and decimals, and draw a line after the amount to prevent any alterations.
04
In the next line, write the payment amount in words. Start with the dollar amount, followed by the word 'and', and then the cents in fraction form.
05
Sign the check on the line at the bottom right corner. Make sure to use your legal signature.
06
If necessary, fill out the memo line to provide additional information about the payment.
07
Make a record of the check in your checkbook register or accounting system to keep track of your payments and account balance.
Who needs check if new?
01
Anyone who needs to make a payment to an individual or business can use a check. Checks are commonly used for paying bills, making purchases, and transferring money between different accounts.
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