# Affidavit of Lost or Destroyed Check

**Source**: https://finance.uw.edu/sfs/forms/check-affidavit
**Parent**: https://finance.uw.edu/sfs/resources/forms-students

Intro
Use this form to request a replacement for a Financial Aid/Refund check. This form must be completed by the person to whom the check was made payable to. Affidavits for Parent PLUS loans must be completed by the parent who borrowed the loan.
\*\*Please note: An affidavit is a request to cancel and replace a check that is
lost, undelivered, or otherwise missing. Once submitted, the check will be
canceled and can no longer be deposited or cashed. If you receive or find the canceled check, do not attempt to deposit or cash it, as it may result in
fees from your bank.
If you have a balance due on your tuition account at the time you are
requesting a check affidavit, funds from the cancelled check may pay towards the balance due before a new check can be issued.

Payee's Full Name

Student #

Email

Mailing Address

Check#

check#
If you do not have the check number, enter N/A instead.

Amount

Reason for request

Send replacement check to 
- Select -Local AddressPermanent AddressDirect Deposit\*Hold Funds for the Following QuarterCancel Amount from My Student Loans

\*If selecting [Direct Deposit](https://sdb.admin.washington.edu/students/uwnetid/emt.asp), make sure that you have set it up on MyUW

Signature

Questions
For questions, call SFS Customer Service at 206-543-4694

Submit