18664911040 2025

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The document is a Re-Issued Check Form that outlines the process for requesting a re-issue of a check, including necessary information such as taxpayer Social Security Number and reasons for the re-issue. It specifies that a voided check must accompany the form and provides instructions on how to handle expired checks. Additionally, it includes contact information for inquiries and clarifies when to use or not use this form.

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Click ‘Get Form’ to open the Re-Issued Check Form in the editor.
Begin by entering the date in the designated fields. Ensure you format it correctly as MM/DD/YYYY.
Fill in your EFIN (Electronic Filing Identification Number) in the provided space.
In the Taxpayer Social Security Number section, enter your SSN accurately, ensuring to follow the format: XXX-XX-XXXX.
Clearly state the reason for re-issuing the check in the specified area. Be concise and specific.
If applicable, provide your ERO signature and last four digits of your SSN at the bottom of the form.
Remember to attach a voided check before submitting. Once completed, fax this form to 866-300-3528 as instructed.

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