Missing Check Form | Greater Houston Pool Management

PLEASE NOTE: We allow one full week for the post office to deliver your check before we will officially claim it as lost and reissue it. Unless your check was sent to the wrong address, you must wait at least 7 days after the pay date to submit this form.

First Name

Address:

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Cell Phone(xxx-xxx-xxxx)

Assigned facililty:

Pay date of missing check

Reason For Submitting Form

Additional Information

Additional InformationPlease provide any additional information in the space below.

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I agree that my check was sent to the wrong address or it has at least been 7 days since the pay date.

CALL TODAY 713-771-7665

Fax 713-771-SWIM (7946)

8:30 AM - 5:00 PM (MONDAY - FRIDAY)

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