Declaration of Loss
Declaration of lost, destroyed, or stolen cashier's check or money order.
If claim is requested less than 10 calendar days from purchase $25 fee may be accessed.
Check and Claimant Information:
Name of Claimant:
*
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Member #:
*
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Date of check:
*
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Check Number:
*
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Name of payee:
*
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Check Amount:
*
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The check is lost.
The check was destroyed.
The check was stolen.
Request for Payment *
Replacement Check
Deposit back in member account
Thank You for Submitting your Declaration of Loss request.
A CU Member Service Representative will be contacting you shortly to complete this process.