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