Form OSPS.99.23 "Cancel an Osps Issued Check" - Oregon

What Is Form OSPS.99.23?

This is a legal form that was released by the Oregon Department of Administrative Services - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2016;
  • The latest edition provided by the Oregon Department of Administrative Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form OSPS.99.23 by clicking the link below or browse more documents and templates provided by the Oregon Department of Administrative Services.

ADVERTISEMENT
ADVERTISEMENT

Download Form OSPS.99.23 "Cancel an Osps Issued Check" - Oregon

Download PDF

Fill PDF online

Rate (4.8 / 5) 58 votes
PRINT
CANCEL AN OSPS ISSUED CHECK
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
OREGON STATEWIDE
Other (specify): ________________________________________________________
PAYROLL SERVICES
(OSPS)
 A faxed P370 check request will follow
:
Yes
N/A
(503) 378-3518 fax
E-mail:
Section B: About the Check
OSPS.Help@oregon.gov
Agency #
Employee / Vendor Name (Payee)
Online Resource Center:
http://go.usa.gov/bEJk
Employee ID /
P190 Set
Pay Period End
Check Date
Check #
Check Amt
(01, 02, etc.)
Vendor Code
INSTRUCTIONS TO
PAYROLL OFFICES:
or
N/A
1. Complete this form
AGENCIES: Sign here ONLY if you do your own
online at
P190 corrective flag set:
Yes
N/A
P130 reversal – AND ALSO in Section D.
http://go.usa.gov/BVNG
OSPA check reversal (P130/P310) done by:
Date
2. Verify all required fields
are complete.
Section C: Replacement Instructions (Optional)
3. Print form. Sign and
If rewriting a vendor check, or an employee check that is too old to reverse in OSPA, complete
date where indicated.
this section. Do NOT complete if faxing P370 to rewrite check. CHECK AMT and TOTAL OF
4. Bring or send canceled
REWRITE must match. If you need additional payee lines, use more forms.
check and form to
OSPS.*
Employee ID /
Replacement
OSPS
* For agencies with a fax
USE
Name of Payee / Make Payable To
Vendor Code
Check Date
Check Amt
ONLY
reversal authorization in place,
fax to OSPS followed by
original form and check
marked as per agreement.
OSPS Use Only
Received Date Stamp
Total of Rewrite
$ 0.00
(must match ”Check Amt” in Section A)
Section D: Submitted By
Use your signature for print version, or email address for electronic submission.
Submit by Email
Signature: ________________________________________
Date: __________________
For OSPS Use Only
 Agency reversal flag verified
 N/A
For manual check cancellations:
/
Revised 2/2016
 P370 attached
 PPNN
 Copy to SFMS
 N/A
/
/
Run
)
/
Form No. OSPS.99.23
PRINT
CANCEL AN OSPS ISSUED CHECK
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
OREGON STATEWIDE
Other (specify): ________________________________________________________
PAYROLL SERVICES
(OSPS)
 A faxed P370 check request will follow
:
Yes
N/A
(503) 378-3518 fax
E-mail:
Section B: About the Check
OSPS.Help@oregon.gov
Agency #
Employee / Vendor Name (Payee)
Online Resource Center:
http://go.usa.gov/bEJk
Employee ID /
P190 Set
Pay Period End
Check Date
Check #
Check Amt
(01, 02, etc.)
Vendor Code
INSTRUCTIONS TO
PAYROLL OFFICES:
or
N/A
1. Complete this form
AGENCIES: Sign here ONLY if you do your own
online at
P190 corrective flag set:
Yes
N/A
P130 reversal – AND ALSO in Section D.
http://go.usa.gov/BVNG
OSPA check reversal (P130/P310) done by:
Date
2. Verify all required fields
are complete.
Section C: Replacement Instructions (Optional)
3. Print form. Sign and
If rewriting a vendor check, or an employee check that is too old to reverse in OSPA, complete
date where indicated.
this section. Do NOT complete if faxing P370 to rewrite check. CHECK AMT and TOTAL OF
4. Bring or send canceled
REWRITE must match. If you need additional payee lines, use more forms.
check and form to
OSPS.*
Employee ID /
Replacement
OSPS
* For agencies with a fax
USE
Name of Payee / Make Payable To
Vendor Code
Check Date
Check Amt
ONLY
reversal authorization in place,
fax to OSPS followed by
original form and check
marked as per agreement.
OSPS Use Only
Received Date Stamp
Total of Rewrite
$ 0.00
(must match ”Check Amt” in Section A)
Section D: Submitted By
Use your signature for print version, or email address for electronic submission.
Submit by Email
Signature: ________________________________________
Date: __________________
For OSPS Use Only
 Agency reversal flag verified
 N/A
For manual check cancellations:
/
Revised 2/2016
 P370 attached
 PPNN
 Copy to SFMS
 N/A
/
/
Run
)
/
Form No. OSPS.99.23