Cheque Checklist Form
Complete this Cheque Checklist Form to ensure all critical details are verified before processing cheques.
Cheque Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Payee Name
*
Cheque Amount
*
Is the amount written in words?
*
Yes
No
Bank Name
*
Cheque Number
*
Is the cheque signed?
*
Yes
No
Is the cheque endorsed (if required)?
*
Yes
No
Not Applicable
Physical Condition of Cheque
*
Please Select
Good
Torn
Altered
Other
Remarks
Submit Checklist
Should be Empty: