Fillable OSPS.99.07 ACH Stop Reversal Request (Oregon)

Fill Online, Printable, Fillable, Blank OSPS.99.07 ACH Stop Reversal Request (Oregon) Form

Use Fill to complete blank online OREGON pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

OSPS.99.07 ACH Stop Reversal Request (Oregon)

On average this form takes 16 minutes to complete

The OSPS.99.07 ACH Stop Reversal Request (Oregon) form is 1 page long and contains:

  • 0 signatures
  • 15 check-boxes
  • 58 other fields

Country of origin: US
File type: PDF

BROWSE OREGON FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
ACH STOP / REVERSAL REQUEST
OREGON STATEWIDE
PAYROLL SERVICES
(OSPS)
(503) 378-3518 fax
E-mail:
OSPS.Help@oregon.gov
Online Resource Center:
http://go.usa.gov/bEJk
INSTRUCTIONS TO
PAYROLL OFFICES:
Complete this form online
at http://go.usa.gov/BVNG
1. Verify all required fields
are complete.
2. Ensure your agency
number appears on the
form.
3. Print form. Sign and
date where indicated.
4. Fax completed form to
OSPS.
5. To request a physical
check, follow manual
check guidelines.
6. Set P190 flag for
closed months if
requesting a manual
check or making
changes to the original
file.
For Agency Use Only
P190 Flag Set
P370 Replacement Sent
OSPS Use Only
Received Date Stamp
Revised 2/2016
Form No. OSPS.99.07
I want to:
Stop an ACH deposit before the batch is transmitted to Treasury (10:15 a.m. on the
second day after final payroll cutoff. See OSPS Processing Calendar for dates.)
Attempt an ACH reversal within five banking days after settlement of the erroneous
entry/transaction. RESTRICTIONS APPLY – see relevant section, below.
About the Employee (one per form):
Agency No.
Employee ID No. (No SSN)
OR __ __ __ __ __ __ __
Employee Name
About the Deposit:
NET DEPOSITS
Set
No.
1
Pay Period
Ending
Payday
Amount
Routing &
Transit No.
Account No.
OSPS
USE
ONLY
1-This is the “Reg Set” field on the employee’s P190 screen
FIXED DEPOSITS
Pay Period
Ending
XDNN
Code
(3 chars)
Amount
Routing &
Transit No.
Account No.
OSPS
USE
ONLY
Reason for Request:
To prevent employee overpayment (Time removed: Yes N/A)
Wage attachment received after payroll ran
Late notice of account closure by employee
Other: ___________________________________________________________
Submitted by:
Signature: _____________________________ Date: ______________
ACH Reversal Additional Information and Restrictions (Does not apply to ACH Stops):
Only managers of the agency payroll function can authorize an ACH reversal.
ACH reversals are NOT GUARANTEED. OSPS will attempt the reversal but will not modify
the employee’s OSPA record until we receive a provisional credit from Treasury. This could
take up to five business days. If at a later date (up to several weeks later) the employee’s
bank denies the return, OSPS bills the agency for the provisional credit.
ACH reversals are heavily regulated by NACHA and are for emergencies only. Some
examples of appropriate use for this process are: sent to wrong account number, incorrect or
duplicate payment amounts.
Before you request an ACH reversal, complete these actions:
Exhaust all other methods of recovering funds
Notify employee you will reverse this transaction (NACHA rule). Retain for your files.
For OSPS Use Only
Info Verified P130/P070 entry PACH entry
PRINT
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

OSPS.99.07 ACH Stop Reversal Request (Oregon)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 18 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document