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For anyone who wrote a check they need their bank to refuse — lost, stolen, wrong amount, or disputed. Fill out the form, watch a live preview, and download your document as a print-ready PDF. We never store your bank details.

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Bank account

Check to stop

Authorization

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April 16, 2026
Dear Banker,
Re: Stop Payment — Check #
I, the undersigned, request that the financial institution stop payment on the check described below. I understand that stop payment fees may apply and that this request is subject to the bank's policies and applicable law.
Check Details
Check Number#
Check Date
Check Amount$
Payee (Pay To)
Reason for Stop
Account Details
Account Holder
Financial Institution
Account TypeChecking
Routing Number
Account Number
The information provided in this letter is true, accurate, and complete to the best of my knowledge as of the date of this letter. I accept responsibility for any claims arising from this stop payment request.
Sincerely,
April 16, 2026
Stop Payment RequestContains Personally Identifiable InformationPage 1 of 1

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Watermarked sample of the stop payment request form

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What is a stop payment request form?

A stop payment request form is a signed document that instructs your bank to refuse payment on a specific check you have written. The form identifies your account, the check number, the check date, the amount, and the payee. Once your bank processes the request, the check will be returned unpaid if someone attempts to cash or deposit it.

Banks typically charge a stop payment fee (usually $15–$35) and the stop payment order remains in effect for six months under the Uniform Commercial Code. After six months, you may need to renew the request. This form provides the written documentation your bank needs to process the stop payment, and it serves as your proof that the request was made.

Some organizations also request a voided check alongside this document. Generate a voided check →

Loved by our customers

Over 1.2 million documents generated for more than 8,000 happy customers

★★★★★

Stopped a Lost Check Fast

Mailed a rent check that never arrived. My bank wanted a signed stop payment form before they’d do anything. Had it printed and at the branch in under ten minutes. Check was blocked the same day.

Brian C.

★★★★★

Exactly What My Bank Needed

Wrote a check for the wrong amount to a contractor. My bank’s online portal didn’t support stop payments, so they asked for a written request. This form was accepted without any pushback.

Natalie F.

★★★★★

Saved Me from a Duplicate Payment

I accidentally sent two checks for the same invoice. This form let me stop the duplicate before it cleared. Clean and professional — the bank processed it immediately.

George A.

Frequently asked questions

What are the common mistakes to avoid when filling out this form?
  • Getting the check number wrongThe bank uses the check number to identify which check to block. If you provide the wrong number, the stop payment won’t cover the right check. Verify the number from your check register or online banking.
  • Submitting after the check has clearedA stop payment only works on checks that have not yet been cashed or deposited. Once a check clears, the stop payment cannot reverse it. Act quickly after discovering the issue.
  • Forgetting the bank’s stop payment feeMost banks charge $15–$35 per stop payment request. This fee is separate from the $9 form cost. Budget for both, and check whether your account type waives the bank fee.
  • Not renewing after six monthsUnder the UCC, a stop payment order expires after six months. If the check is still outstanding, you need to submit a new request before the original expires or the check could be cashed.
What is a stop payment request?

A stop payment request is a formal instruction to your bank to refuse payment on a specific check that you have written. When your bank processes the request, the check will be returned unpaid if presented for payment. The request must include the check number, date, amount, and payee name to ensure the bank can identify the correct check.

How much does a stop payment cost at the bank?

Most banks charge a stop payment fee between $15 and $35 per request. This fee is separate from the $9 cost of generating this form. Some banks waive the fee for premium account holders. Contact your bank for their specific stop payment fee schedule.

How long does a stop payment last?

Under the Uniform Commercial Code (UCC), a stop payment order on a check is effective for six months from the date the bank receives and processes your request. After six months, the order expires and the check could potentially be cashed. You can renew the stop payment before it expires by submitting a new request.

Can I stop payment on a check that has already been cashed?

No. A stop payment request only works if the check has not yet been cashed, deposited, or processed by the payee’s bank. Once a check has cleared, the stop payment cannot reverse the transaction. If you need to recover funds from a cashed check, you may need to pursue other legal remedies.

Can I stop payment on a cashier's check or certified check?

Generally, no. Cashier’s checks and certified checks are guaranteed by the bank and cannot be stopped through a standard stop payment request. These instruments are treated as cash equivalents. If a cashier’s check is lost or stolen, contact your bank about their specific process for handling lost cashier’s checks, which may involve a waiting period and indemnity bond.

Do I need to submit the stop payment request in person?

Requirements vary by bank. Some banks accept stop payment requests by phone, online banking, or fax, while others require an in-person visit with a signed form. Having a completed, signed stop payment request form ready when you contact your bank speeds up the process regardless of their submission method.

How much does the stop payment request form cost?

$9 one-time payment for the form. There is no subscription, no account required, and no recurring charges. You receive an instant PDF download, a JPG image, and an emailed copy. Note: your bank will charge a separate stop payment fee.

What happens if the check is presented after the stop payment?

If someone tries to cash or deposit a check that has an active stop payment order, the bank will refuse the payment and return the check marked as stopped. The payee will be notified that the check was not honored. The stop payment protects you from the check clearing, but the underlying obligation to the payee may still exist.

Key terms

Stop payment order
A formal instruction to your bank to refuse payment on a specific check. Effective for six months under the Uniform Commercial Code (UCC).
Check number
The sequential number printed on each check, used by the bank to identify the specific check targeted by a stop payment.
NSF (Non-Sufficient Funds)
A bank return reason meaning the account did not have enough money to cover the check. Different from a stop payment, which is a deliberate refusal by the account holder.
Uniform Commercial Code (UCC)
A set of laws governing commercial transactions in the US, including rules on checks and stop payment orders. Most states have adopted the UCC.
Stale-dated check
A check presented for payment more than six months after its issue date. Banks may refuse to honor stale-dated checks, but are not required to.

My Check Pros is a document generation tool and is not affiliated with, endorsed by, or in any way officially connected with any financial institutions mentioned. Read our disclaimer.

My Check Pros is owned and operated by Miruvor, an independent studio based in Washington, D.C., focused on researching and building in the payments, fintech and agentic AI space.