Request for Reissue of Unclaimed-Uncashed

TCC has a list of unclaimed-uncashed checks. Click the document below and look for your name.

2021-2023_Unclaimed_Uncashed_ChecksDownload

If you see your name, please complete the form below to request a reissue of your unclaimed-uncashed check or click the link below to view and print a PDF version of the form you can complete and send to us.

Click here to download a PDF copy of this form, or fill it out below.

This form is to certify that a check(s) issued to the undersigned by Tri-County Communications Cooperative, Inc. has been lost or destroyed. If this check(s) should ever be found or recovered, it shall be turned over to Tri-County Communications Cooperative, Inc., without any claim attached thereto. It is understood that after this form is properly signed, a new check(s) will be issued.

Name(Required)

First Middle Initial Last

Phone Number(Required)

Date of Birth(Required)

Last 4 of Social Security Number(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Last Service Address with TCC

Street Address Address Line 2 City ZIP / Postal Code

Comments/Questions

Signed(Required)

Signature Date(Required)

CAPTCHA

Request for Reissue of Unclaimed-Uncashed

Promo code: Free30

Add services to internet and save!