Check Recovery Form


Use the form below to submit information for any checks that bounce as you deposit them in your troop bank account. 

All checks must be deposited into the troop bank account within 30 days from the date the check was written to qualify for reimbursement. Both the bank fee and the check fee will be reimbursed if sufficient documentation is provided, and if done so no later than March 25, 2022, both fees will be deducted from the total owed to council for the 2022 Cookie Program.

Name - Person Completing Form*

Address Listed on Check*
Found in top right corner of check
Has another form of payment been accepted by the troop? *
Image of Check *
No File Chosen
File uploads may not work on some mobile devices.
Image of Check #2
No File Chosen
File uploads may not work on some mobile devices.
Has another form of payment been accepted by the troop?
Copy of Chargeback Notice Sent from Bank*
No File Chosen
File uploads may not work on some mobile devices.
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