Duplicate Payment Prevention Checklist Form
Review and confirm key checks to prevent duplicate payments before submitting or approving a transaction.
Transaction Reference (last 4 digits or unique ID)
*
Vendor or Payee Name
*
Invoice Number or Reference
*
Invoice Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Payment Amount
*
Has the invoice or payment already been processed in the system?
*
No – This is a new payment
Yes – Possible duplicate
Have you checked for similar payments to the same vendor or invoice in the last 90 days?
*
Yes, checked and no duplicates found
Possible duplicates found
Is the invoice or payment amount identical to any recent transactions?
*
No
Yes
Exception Notes (if any duplicates or issues found)
Final Review Status
*
Ready for Payment
Hold – Further Review Needed
Do Not Pay – Duplicate Detected
Submit Checklist
Should be Empty: