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Purchaser Eligibility Certification - Word - FDIC 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling in the 'Payee' section with your business name or financial organization, if applicable. This ensures that the check is issued correctly.
- Enter your Social Security Number (SSN) or employee identification number in the designated field for proper identification.
- If applicable, provide the co-payee's information if the payee is a financial organization. This helps in processing payments accurately.
- Fill out the address where the check was originally mailed, including the 9-digit ZIP Code, and ensure it matches your records.
- Indicate any discrepancies by providing a correct mailing address if different from what was previously listed.
- Select the purpose for which the check was issued by marking the appropriate box (e.g., Regular Pay, Travel Pay).
- Specify whether you did not receive the check or if it was received but lost, stolen, destroyed, or mutilated by checking the relevant options.
- Certify your request by signing and dating where indicated. Ensure all signatures are completed to avoid delays.
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