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Students who have not received their refund or financial aid check(s) within three weeks of issuance should complete a Stop Payment Request Form (State Agency Trust Check Replacement Application) to request a stop payment on the original check, and to initiate the issuance of a replacement check.

• State Agency Trust Check Replacement Application (pdf)

Instructions for completing the Stop Payment Request Form:

• Write your SJSU ID # on the top right corner of the form
• Under your SJSU ID #, write "Pick Up" if you would like to pick up your replacement check; write "Mail" if you would like it mailed to you
• Fill in the following information on the form:

1. Payee Name: Enter your name
2. Check Amount: Enter the dollar amount of the check
3. Check Date: Enter the date the check was issued
4. Name (Under "Certification"): Enter your name again
5. Address: Enter your address
6. Complete the declaration by filling in the approximate date that the check was lost or destroyed and the circumstances (i.e., lost in mail, never received, torn, destroyed, etc.)
7. Below the statement "I certify (or declare) under penalty of perjury that the foregoing is true and correct," enter the Month, Day and Year that the form is being signed, as well as the City where form is being signed
8. Signature (Under "Declarant"): Sign the document, affirming the accuracy of the information, and as verification that as the individual signing the document, you are the legal recipient of the check being replaced

Additional Information

• Please submit the form either in person to the Bursar's Office, by mail or by fax. Our mailing address and fax # are listed below
• Please be advised that it can take up to two weeks for the replacement check to be issued
• If you are requesting a stop payment on more than one check, please complete an additional form for each check
• Please remember that by submitting the Stop Payment Request Form, the original check issued to you is now void. Should the original check arrive in your mailbox after submitting this form, please either return the check to the Bursar's Office or destroy it accordingly
• In order to avoid this lengthy and time comsuming process with future lost or destroyed checks, we encourage you to enroll in eRefunds