Fillable OSPS.99.23 Cancel An OSPS Issued Check (Oregon)

Fill Online, Printable, Fillable, Blank OSPS.99.23 Cancel An OSPS Issued Check (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.99.23 Cancel An OSPS Issued Check (Oregon)

On average this form takes 16 minutes to complete

The OSPS.99.23 Cancel An OSPS Issued Check (Oregon) form is 1 page long and contains:

  • 0 signatures
  • 19 check-boxes
  • 55 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
 
CANCEL AN OSPS ISSUED CHECK
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:
1. Complete this form
online at
http://go.usa.gov/BVNG
2. Verify all required fields
are complete.
3. Print form. Sign and
date where indicated.
4. Bring or send canceled
check and form to
OSPS.*
* For agencies with a fax
reversal authorization in place,
fax to OSPS followed by
original form and check
marked as per agreement.
Received Date Stamp
Revised 3/2015
Form No.
OSPS.99.23
AGENCIES: Sign here ONLY if you do your own
P130 reversal – AND ALSO in Section D.
Section A: Reason for Canceling the Check
Need to rewrite a vendor check to one or more payee(s) (All Sections)
Need to rewrite an employee check too old to reverse in OSPA (All Sections)
Previously reported as lost. Reissued with ck# ______________ dated ____________
To prevent an employee overpayment – Time removed: Yes N/A
Wage attachment received after payroll ran
Other (specify): ________________________________________________________
A faxed P370 check request will follow: Yes N/A
Section B: About the Check
Agency #
Employee / Vendor Name (Payee)
Employee ID /
Vendor Code
P190 Set
(01, 02, etc.)
or N/A
Pay Period End
Check Date
Check Amt
P190 corrective flag set: Yes N/A
OSPA check reversal (P130/P310) done by: Date
Section C: Replacement Instructions (Optional)
If rewriting a vendor check, or an employee check that is too old to reverse in OSPA, complete
this section. Do NOT complete if faxing P370 to rewrite check. CHECK AMT and TOTAL OF
REWRITE must match. If you need additional payee lines, use more forms.
Name of Payee / Make Payable To
Employee ID /
Vendor Code
Replacement
Check Date
Check Amt
OSPS
USE
ONLY
Total of Rewrite
(must match ”Check Amt” in Section A)
Section D: Submitted By
Use your signature for print version, or email address for electronic submission.
Signature: ________________________________________ Date: __________________
For OSPS Use Only
Agency reversal flag verified / N/A
Copy to SFMS
/ N/A
For manual check cancellations:
P370 attached
/ PPNN / Run )
OS
PS Use Only
Below this line
_
__________________
PRINT
$ 0.00
Submit by Email
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.99.23 Cancel An OSPS Issued Check (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 14 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document