Form preview

Get the free Lost Check Request Form - Cook County Pension Fund

Get Form
Office # REQUEST FOR REPLACEMENT OF A LOST CHECK I, (print name), do hereby swear that I did not receive my (circle one) annuity / disability / refund check dated. I hereby request that a replacement
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign lost check request form

Edit
Edit your lost check request form form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your lost check request form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing lost check request form online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit lost check request form. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
With pdfFiller, it's always easy to work with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out lost check request form

Illustration

How to fill out a lost check request form:

01
Obtain the necessary form: Start by contacting your bank or financial institution and requesting a lost check request form. They will provide you with the appropriate document to complete this process.
02
Personal Information: Fill out your personal information accurately on the form. This typically includes your full name, address, phone number, and account number. Make sure to double-check the information for any errors before proceeding.
03
Check Details: Provide specific details about the lost check, such as the check number, date it was issued, and the recipient's name. Include any additional relevant information, such as the purpose or description of the payment, to aid in the process.
04
Lost Check Declaration: Most lost check request forms will include a section where you must declare that the check has been misplaced or lost. Sign and date this declaration to confirm the accuracy of the information provided.
05
Submit the Form: Once you have completed the form, double-check for any mistakes and ensure that all required fields have been filled out accurately. Submit the form to your bank or financial institution through the appropriate channel, which could be online, in-person, or via mail.

Who needs a lost check request form?

01
Individuals who have lost a check: If you have misplaced or lost a check that was issued to you, whether it is a personal or business check, you will need a lost check request form to report and take appropriate action.
02
Bank customers: Customers of banks or other financial institutions can typically request a lost check request form from their institution if they need to report a missing check.
03
Recipients of stolen or misplaced checks: If you have received a check that was stolen or lost in transit, you may need to fill out a lost check request form provided by your bank or financial institution to alert them about the situation.
In summary, filling out a lost check request form involves providing personal and check details, signing a declaration, and submitting the form to the appropriate bank or financial institution. Individuals who have lost a check or are recipients of stolen or misplaced checks would need to utilize this form.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.5
Satisfied
51 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

You can use pdfFiller’s add-on for Gmail in order to modify, fill out, and eSign your lost check request form along with other documents right in your inbox. Find pdfFiller for Gmail in Google Workspace Marketplace. Use time you spend on handling your documents and eSignatures for more important things.
When your lost check request form is finished, send it to recipients securely and gather eSignatures with pdfFiller. You may email, text, fax, mail, or notarize a PDF straight from your account. Create an account today to test it.
Easy online lost check request form completion using pdfFiller. Also, it allows you to legally eSign your form and change original PDF material. Create a free account and manage documents online.
Lost check request form is a document used to report a lost or missing check and request a replacement.
Anyone who has lost a check issued to them and is in need of a replacement is required to file a lost check request form.
To fill out a lost check request form, you typically need to provide details such as the check number, date of issue, amount, and reason for requesting a replacement.
The purpose of a lost check request form is to report the loss of a check and request a replacement to ensure that the funds are not misused.
The information required on a lost check request form usually includes the check number, date of issue, amount, issuer, and reason for requesting a replacement.
Fill out your lost check request form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.