Form IA-81 at a glance
What it is: Form IA-81 is the Replacement Check Request Form.
Where and when to file: Mail the completed request to the Georgia Department of Revenue, PO Box 740389, Atlanta, GA 30374-0389.
Use this form to replace a refund check that has been mailed but never received, to request a stop payment on a check that has been lost, stolen or destroyed, or if you have a refund check that has expired and has not been cashed for more than 180 days after issuance.
A filled-in Form IA-81 example: an individual's refund check never arrived
How to fill out Form IA-81, box by box
Refund tax year, refund amount and tax type
Enter the REFUND TAX YEAR and the REFUND AMOUNT.
Check Tax Type: Individual, Sales and use tax, Withholding, Corporate, IFTA or Motor Fuel.
Taxpayer information
Under TAXPAYER INFORMATION, enter the E-mail, the Primary Taxpayer Name or Name of Business, and the Spouse Name (if applicable).
Enter the SSN, the SSN (spouse, if applicable), the State Tax Identification Number (STI) and the Check Number (if known).
Enter the Mailing Address on Return with City, State and Zip, and the Current Mailing Address (if different from the Mailing Address on Return) with City, State and Zip.
Enter the Daytime Telephone Number, the Fax Number and the Name of Contact Person (if applicable).
Reasons for request (choose one)
Reasons for request (choose one): Check Never Received, Lost, Stolen, Expired, Destroyed or Other (Please Explain).
A "STOP PAYMENT" will be issued on the original refund check upon receipt of this form. If you receive/find your original check after submitting this form, please destroy the check.
Declaration and signatures
You hereby declare, under penalties of perjury, that you have examined this request and, to the best of your knowledge and belief, it is true, correct and complete. If you are being represented by an attorney, accountant, or other third party, a properly executed Power of Attorney (Form RD-1061) authorizing the representative to act for the taxpayer must be included with this form.
Sign and date in Taxpayer's Signature and Date, and in Spouse's Signature and Date (if applicable).
A representative enters the Representative's Name, Title (if applicable), Representative's Signature and Date.
More rules for Form IA-81
Do not request a replacement check if it has been less than 15 business days since the check was mailed.
Allow 10-15 business days processing time for your completed form.
Common questions about Form IA-81
Where do I file it?
Mail the completed request to the Georgia Department of Revenue, PO Box 740389, Atlanta, GA 30374-0389.
Sources
[1] Form IA-81, Replacement Check Request Form, Georgia Department of Revenue (the Official source link on this page).