Stop Payment Request Form

STOP PAYMENT REQUEST FORM

KCC Students: Please read below and write clearly.

Dear Students: Please fill out the following information indicated below. Your refund inquiry is important to us. Please be advised that processing Stop Payment Requests can take anywhere between 2-6 weeks. You must make any necessary address changes and/or Direct Deposit updates in CUNYfirst – Self Service.

Please don't fill out this input box.

Today's Date:*

EMPLID

First Name:*

Last Name:*

Semester:

Refund Amount:

Reason for Replacement Check: (Select all that applies)

Lost check.

Check Stolen.

I did not receive my refund check in the mail.

Other.

If you did not receive your refund check in the mail, please state your current address below:

Updated Address:

Phone:

Email:

Signature: (write your full name)

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Stop Payment Request Form

STOP PAYMENT REQUEST FORM