Stockton University
Void/Stop Payment Request
1. ACTION:
___ VOID (Attach original check)
___ STOP PAYMENT (transmit immediately to Banking Services)
11. CHECK INFORMATION:
General - required for Banner check action
Bank # 01 Check #__________ Check Date: ___/___/___ Check Amount:$___________
Check Payee: _________________________ Vendor’s Phone # _________________
Vendor# _________________ Vchr # ____________ Acct # :_____________________
Stop/Payment Confirm # ______________ Date: __/__/__ By: (RSC)________________
111. Banner Finance
Transmit to Disbursement Services
Dept: _________________ Ext: ____________ Request date: ___/___/____
Department Approval/Signature _____________________________________________
Reason: ________________________________________________________________
______________________________ Date void processed in system ___ /___/____
IV. Banner Student
Bursar’s Office
Subcode #: ________ Acct #: ___________________ SS#: ______________________
Type: Regular ___ Bank Loan ___ Financial Aid ___ Manual ___Other: ________________
Year: _______ Fall__ Spring __ Summer Session#: ________ Other: ________________
Signature Requesting Check or Action : __________________ Request date: ___/___/____
Reason: ________________________________________________________________
______________________________ Date void processed in system ___ /___/____
V. HRS
Payroll Office
Employee’s Name: _______________________________________
Check #: _____________ Check Date: ____/____/_____ Check Amount: $___________
Stop/Payment Confirm #: _______________ Date: __/__/__ By: (RSC)_______________
Reason: ________________________________________________________________
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