DD Form 2658 – Fill Out and Use This PDF

Updated: Nov 2, 2026

The DD Form 2658, known as the Returned and Undeliverable Check/Bond Record, is a tool used for documenting the details of checks or bonds that were returned or could not be delivered. It captures essential information such as the date of return, check or bond number, amount, payee details, and the disposition of the document. If you've encountered a situation that requires the recording of such details, click the button below to start filling out your form today.

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How to Fill Out DD Form 2658

DD Form 2658 at a glance

What it is: DD Form 2658 is the Returned and Undeliverable Check/Bond Record.

A filled-in DD Form 2658 example: a clerk records one returned check

DD Form 2658 example filled out, example: a clerk records one returned check — A clerk logs one returned check on DD Form 2658. The check came back undeliverable, so the other rows of the record stay empty. The picture shows the first row; its names and figures are sample values. The clerk reissued the check, so Disposition reads REISSUED.

How to fill out DD Form 2658, box by box

Date returned, check or bond number, date and amount

Enter the 1. Date Returned, 2. Check/Bond Number, 3. Check/Bond Date and 4. Amount.

Payee, voucher number, disposition and date of disposition

Enter the 5. Payee, 6. Voucher Number, 7. Disposition and 8. Date of Disposition.

Sources

[1] DD Form 2658, AUG 93, Returned and Undeliverable Check/Bond Record, Washington Headquarters Services (the Official source link on this page).

DD Form 2658 PDF Details

DD Form 2658 is the Department of Defense record for checks and bonds that have been returned or could not be delivered to the intended payee. The form documents the check or bond number, issuance date, dollar amount, payee name, and assigned voucher number. It also records the date of return and the final disposition, creating a complete audit trail for each undeliverable financial instrument.

Finance offices across Army, Navy, Air Force, and other DoD components complete this form whenever a payment fails to reach its recipient. Introduced in August 1993 to replace AF Form 1395 (now obsolete), the form works with Adobe Professional 8.0. Accurate completion allows disbursing officers to reconcile accounts and initiate the correct replacement or void process under applicable financial regulations.

Question	Answer
Form Name	DD Form 2658
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	PAYEE, dd form 2658, REPLACES, VOUCHER, dd returned and undeliverable check bond record