Use this form to request a replacement for a check issued by the Bursar’s Office. This form must be completed by the person or entity to whom the check was made payable. For Parent PLUS Loan refunds, the affidavit must be completed by the parent borrower. For payments issued to a business or organization, the request must be submitted by an authorized representative of the payee.
Important: An affidavit is used to request the cancellation and replacement of a check that has been lost, not received, destroyed, or is otherwise missing. Once the affidavit is submitted, the original check will be canceled and can no longer be deposited or cashed. If you later receive or locate the canceled check, do not attempt to deposit or cash it, as doing so may result in fees charged by your financial institution.
To allow sufficient time for mail delivery, the University cannot begin the cancellation and replacement process until 10 business days have passed from the original check issue date. Affidavits submitted before the 10-business-day period has elapsed will be held and processed once the waiting period has been met.
If you would like the funds from this check applied to an outstanding obligation owed to the University, please select that option in the “Send Replacement Check To” section below. The canceled check proceeds will be applied to the outstanding balance. Any remaining credit balance will be refunded in accordance with University procedures.
By submitting this affidavit, you certify that the original check has not been deposited, cashed, or otherwise negotiated by you. If the original check is received or located after a replacement has been issued, you agree not to deposit or cash the original check and to promptly destroy it or return it to the University as instructed.
Affidavit of Lost or Destroyed Check
*If selecting Direct Deposit, make sure you have set up your account.
Contact us for any questions regarding this form.
What to Expect After Submission
- Submit the completed affidavit.
- The request will be reviewed and processed within 5-7 business days.
- The original check will be canceled.
- A replacement check will be created, or the funds will be applied to an outstanding University obligation, as requested.
- Please allow additional mailing time based on postal delivery schedules.