III-F Replacement of Lost Checks
8/1/04
Adult Foster Home and Homecare Worker checks are replaced
by the SPD Provider Pay Unit. See III.C.5
For information on direct deposit, see SPD
Worker Guide F.4
Payee must complete an Affidavit Concerning Lost Check form (DHS
138A) and have his/her signature notarized. See DHS138A instructions.
If check shows as OS (outstanding) on RCIQ, it may be replaced by the following procedure:
- Obtain a completed Authorization of Cash Payment form (SDS 437).
- Complete an Affidavit Concerning Lost Check form (DHS 138A).
- Call the Business Security Unit/Forgery Services (503-945-5640) for a “Payment Alert Number” (Forgery will need the information from the DHS 138A). Forgery Unit will refer for replacement.
- Put the “payment alert” number from Business Security Unit/Forgery Services on the DHS 138A and on the AFS 437.
- Mail original DHS 138A to the following:
Business Security Unit
Forgery Services
500 Summer St. NE E85
Salem, OR 97301
If the client marks that they have endorsed the check, it cannot be replaced.
If check shows as PD (cashed) on RCIQ, proceed with the following:
- DO NOT REPLACE.
- A copy of the check can be e-mailed from the Business Security Unit/Forgery Services for verification of endorsement by payee.
- Request a forgery packet from Business Security Unit/Forgery Services (see Section III.D.7 of this manual).
- Once the payee has completed the packet, return it to Business Security Unit/Forgery Services.
Forgery Services/State Police will determine if check was forged (can take 6-8 weeks). If forgery is determined, Forgery Services will notify appropriate unit to replace.