Affidavit of Lost or Destroyed Check – Form

Affidavit of Lost, Stolen or Destroyed Check

Notarization is required to have a replacement check issued. Please fill out this document, have it notarized, and upload it below, or mail to:

Sno-Isle Libraries
Accounting Staff
7312 35th Ave NE
Marysville, WA 98271-7417

The notarized document and the below form must be submitted for a replacement check to be issued for a lost, stolen or destroyed check not received or otherwise cashed. If you have questions, please email us.

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