Payroll Department PAYROLL STALE DATED CHECK FORM - finance upenn 2025

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The document is a Payroll Stale Dated Check Form from the Payroll Department located in Philadelphia. It provides instructions for requesting a reissue of a stale dated check, requiring the original check to be submitted along with the form. The form collects essential information such as the payee's details, check number, date, and amount, and offers options for receiving the new check either by mail or email notification.

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Click ‘Get Form’ to open the Payroll Stale Dated Check Form in the editor.
Begin by entering today’s date in the designated field. This helps track when the request is made.
Fill in the Payee's name accurately, as this will be used for issuing the new check.
Provide the Social Security Number (Soc. Sec. #) of the payee to verify identity and ensure proper processing.
Enter the original check number and check date to reference the stale dated check being replaced.
Indicate the check amount that was originally issued, ensuring it matches your records.
Choose your preferred method for receiving the new check by selecting either 'Sent to home' or 'E-mail me when ready for pick up'.

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