Request for Duplicate Controller's Warrant Form
The Request for Duplicate Controller's Warrant form allows individuals or agencies in California to request a duplicate warrant. This form is essential for those who have not received their warrant or have lost it. Ensure all required fields are filled accurately for successful processing.
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How do I fill this out?
To fill out the Request for Duplicate Controller's Warrant form, begin by gathering all necessary information such as the warrant number and date issued. Carefully complete each section, ensuring that all fields are filled as required. Double-check your entries for accuracy before submission.

How to fill out the Request for Duplicate Controller's Warrant Form?
1
Gather the necessary information related to the warrant.
2
Fill in your details accurately in the application form.
3
Indicate the reason for requesting a duplicate warrant.
4
Sign the declaration section with your signature.
5
Submit the completed form to the State Controller's Office.
Who needs the Request for Duplicate Controller's Warrant Form?
1
Individuals who did not receive their state warrant.
2
Agencies that need to replace a lost or destroyed warrant.
3
Businesses requiring a duplicate for tax purposes.
4
Government entities needing to verify fund distribution.
5
Organizations that must stop a payment due to theft.
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Click on the field you wish to edit and make the changes.
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Review all entries for accuracy after editing.
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Save the document once all changes are complete.
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Download the edited PDF for submission.

What are the instructions for submitting this form?
To submit the Request for Duplicate Controller's Warrant form, send all completed pages to the State Controller's Office at the address: P.O. Box 942850, Sacramento, CA 94250-5871. You may also inquire about additional submission options via phone at the agency telephone number listed on Page 1. It is recommended to keep a copy of your submitted form for your records.
What are the important dates for this form in 2024 and 2025?
For 2024, ensure timely submission of this form to avoid disruptions in payments. In 2025, be aware of potential changes in processing times or requirements, so check with the State Controller's Office for updates.

What is the purpose of this form?
The purpose of the Request for Duplicate Controller's Warrant form is to provide a streamlined process for individuals and agencies who require a duplicate warrant. This form serves to safeguard the financial interests of payees who may not have received their warrants. By submitting this form, the declarant seeks a replacement warrant while agreeing to indemnify the state against any loss resulting from the issuance.

Tell me about this form and its components and fields line-by-line.

- 1. Warrant Number: The unique number assigned to the original warrant to be replaced.
- 2. Date Issued: The date when the original warrant was issued.
- 3. Amount: The net amount of the warrant.
- 4. Name: The name of the payee as it appears on the original warrant.
- 5. Address: Mailing address of the payee.
- 6. Signature: The signature of the declarant verifying the accuracy of the application.
What happens if I fail to submit this form?
Failure to submit the form correctly may lead to unprocessed requests and delayed or denied issuance of a duplicate warrant. This can affect financial operations or planned distributions. Therefore, it is crucial to follow all instructions and provide accurate information.
- Delays in Payment: Incomplete or incorrect submissions may result in significant delays.
- Potential Loss of Funds: Not receiving a duplicate warrant could lead to further complications in accessing funds.
- Additional Processing Fees: Incorrect submissions may incur unintended costs or fees related to resubmission.
How do I know when to use this form?

- 1. Lost Warrants: For individuals who have lost their warrant and need a replacement.
- 2. Stolen Warrants: To report and replace a stolen warrant.
- 3. Incorrect Payments: When payments have not cleared due to lost or unreceived warrants.
Frequently Asked Questions
How do I request a duplicate warrant?
Complete the Request for Duplicate Controller's Warrant form accurately and submit it to the State Controller's Office.
What if I receive the original warrant after submitting this form?
If you receive the original warrant, please cash it and disregard the duplicate request.
Can I submit this form via email?
Currently, the form must be submitted physically to the State Controller's Office.
Is there a fee to process this request?
There are typically no fees associated with requesting a duplicate warrant.
How long does it take to receive a duplicate warrant?
Processing times may vary; check with the State Controller's Office for current estimates.
What information do I need to complete the form?
You will need the warrant number, date issued, amount, and your contact information.
Who do I contact for help with the form?
You can contact the requesting agency's telephone number listed on the top of Page 1.
Do I need to sign the form?
Yes, the form must be signed by the declarant to certify its accuracy.
Can multiple payees sign the application?
Yes, if the warrant is drawn to more than one payee, each must sign the application.
What happens if I submit an incomplete form?
An incomplete form may delay processing or result in rejection of your request.
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