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Employee - Reissue Lost, Destroyed or Stale Dated Check
Employee - Reissue Lost, Destroyed or Stale Dated Check
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Employee - Reissue Lost, Destroyed or Stale-dated Check
Title
A short description to explain the nature of a ticket.
Full Legal Name
Employee ID / NetID
The employee ID number or NetID of the person for whom this request is being submitted.
Current Street Address
City
State
Zip Code
Reason for Reissue Request:
Reason for Reissue Request:
Lost
Destroyed
Never Received
Sent to a Different Address (see below)
Other (specify below)
Provide any further details:
Please describe any details that may aid in resolution.
Press Alt + 0 within the editor to access accessibility instructions, or press Alt + F10 to access the menu.
By checking Yes in the Reissue Attestation box, I agree to surrender immediately the original check to Cornell University should the original check come into my possession or control. I agree to not cash the original check as to do so will create an overpayment for which I will be responsible. I agree to repay the overpayment immediately if I do cash the original check.
Reissue Attestation
Reissue Attestation
Yes
Original check number
Reissue option:
Mail my reissued check(s) to the address above
Check Pick up - Picture ID required at time of pick up.
Check pick up communication method
Check pick up communication method
Call me at the number above
Email me at the address above
Checks are available for pick up Monday - Friday, 8:30 - 11:30 am & 1pm - 4pm. If there are no arragements made ahead of time for check pickup, your check replacement will be placed in the mail to the address you provided above.
Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code