Office of Financial Management Services
          Cash Control

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REQUEST FOR STOP PAYMENT AND CANCELLATION
OF INDIANA UNIVERSITY CHECKS

Complete the following form before 3:00pm for quicker processing. If the check has been cashed, we will fax you a copy.
Stop Payment Procedures

Note: If you have the original check please void** and mail to*:

Indiana University
Financial Management Services
Poplars Bldg, 527
400 East Seventh Street
Bloomington, IN 47405-3085

Issusing a stop payment at the bank costs a fixed amount per instance. Having the original check, for cancellation, does not.
*You do not need to fill out this form if you have the original check. A stop payment and cancellation will be processed immediately. (Return stale checks, but you may also fill out the form)
**Remove the bottom information strip.

(* Required Fields)

*Check Number:

*Check Date:

*Payee:

*Check amount: $

EMPLID (for payroll and travel checks) Please do not include SSN!:

Invoice # (N/A for payroll checks):

Purchase Order #:

*Reason For Request (Checks cannot be cancelled if payment is due, the payee cannot be found, or the check is stale):

*Requested By:

*Email:

*Department:

*Phone:

*Fax:

*Campus:

If you have any questions, please call the Cash Control area at (812) 855-5221 or (812) 855-2565, or send an email to Cash Control.

NOTE: IUPUI Campus requests are initially forwarded to on campus personnel; please direct questions to Kim Campbell along with Cash Control.
Block IU Last Updated 11/10/200
400 E. 7th Street, Poplars 527, Bloomington, IN 47405 (812) 855-0375
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