eForm - For Active Employees Only
*****NOTE: If you are a student who currently lives or recently lived in one of the UofM dorms, please contact your dorm's Community Center about your lost check before requesting a replacement check.
Requires UM sign on using your uniquname and Kerberos password. eForm - For Active Employees Only
Paper Form (for those who don't have a UM Sign On)
Complete the attached form and mail to the University of Michigan Payroll Office at 1000 Victors Way, Ann Arbor MI 48108 or fax to (734) 647-3983.
Lost Check Affidavit Application
(450.89 KB)