Financial Resources

  
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Department Contact
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We received notification from you stating that you have not yet received our check payable to  , for the amount of  , check no.  , dated  .  If you would like to stop payment placed on this check, please read and sign below then forward to the Financial Administrative Support Team at UCT 901 or fax to 713-500-4955.
 

Special Note to all Department Contacts:

After you have received the completed Stop Payment/Void Request from the Payee, submit it to FAS @ UCT 900 along with the completed Cancellation form, copy of the voucher and all support. If you should have any questions, please call 713-500-4949.

STOP PAYMENT REQUEST

I, , do hereby certify that the above mentioned check has been lost, stolen, or mutilated and request a duplicate check be issued.  I do not have the check in my possession at this time. In the event that it is located, I agree to return it to the University of Texas-Houston Health Science Center, Accounting Department immediately and understand that I cannot cash the check as a result of the stop payment order.
 
Check to be mailed to:
Signature
Title
Date
 
                    UT-Houston  P.O. Box 20036  Houston, Texas 77225-0036  (713) 500-4949  FAX (713) 500-4955
Located in the Texas Medical Center