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VENDOR NO.___424 Route 8 Mate, Guam 96910 T: 671.475.8900 F: 671.475.8922FY 2021 MEDICARE PREMIUM REIMBURSEMENT APPLICATION IMPORTANT NOTICE TO APPLICANT: 1. The Retirement Fund (the Fund) requires

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How to fill out lost check affidavit

01

To fill out a lost check affidavit, follow these steps:

02

Obtain a lost check affidavit form from your bank or financial institution.

03

Fill in your personal information, including your name, address, and contact information.

04

Provide details about the lost check, such as the check number, date of issue, and amount.

05

Explain the circumstances surrounding the loss of the check.

06

Sign and date the affidavit.

07

Submit the completed form to your bank or financial institution as instructed.

Who needs lost check affidavit?

01

Anyone who has lost a check and needs to report it to their bank or financial institution may need a lost check affidavit.

02

This may include individuals who have misplaced a check received as payment, those whose checks have been stolen or lost in the mail, or anyone who suspects fraudulent activity associated with the lost check.

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What is lost check affidavit?

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

Who is required to file lost check affidavit?

Anyone who has lost a check issued to them and needs to request 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 your personal information, details about the lost check, and a statement explaining the circumstances of the loss.

What is the purpose of lost check affidavit?

The purpose of a lost check affidavit is to officially report the loss of a check and request a replacement from the issuing party.

What information must be reported on lost check affidavit?

The lost check affidavit must include details such as the check number, amount, date issued, payee name, and a brief description of how the check was lost.

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