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Lost or Destroyed Paycheck

You may download the State of Washington Affidavit of Lost or Destroyed Warrant form in PDF format.

The form must be notarized, so please do not sign the form without doing so in front of a person who is also a Notary. Many law offices and court houses have individuals available who can notarize documents.

Return the signed and notarized form to Payroll Services, PO Box 641024, Pullman, WA 99164-1024 or fax it to (509) 335-1472. If you find your original paycheck, please call Payroll Services at (509) 335-9575 for further instructions.

Affidavit of a Lost or Destroyed Paycheck