Stop Payment Request
Stop Payment Request

* Required Information

*Member Number:
*Name (First MI Last):
*Street Address:
*City, *State, *Zip: ,

Check Information

*Date *Check Number *Amount *Payable To
$
$
$
$
*Account Number

Additional Comments or Instructions

Disclosure
We will process your request to stop payment on the check(s) described above, unless we have already paid, certified or accepted it. Your request will cease to be effective six months from the date shown above. Silver State Schools CU will not be liable for payment of the check contrary to this request unless payment is caused by Silver State Schools CU's negligence and causes actual loss to you. Silver State Schools CU's liability shall not, in any event, exceed the amount of the check. You must reimburse Silver State Schools CU for any loss it sustains in honoring this request.

Silver State Schools CU will charge a stop payment fee based on the fee schedule you have already received.