STD 435 at a glance
What it is: STD 435 is the Request for Duplicate Controller's Warrant / Stop Payment of the State of California Controller's Office.
Who signs: If the warrant is drawn to more than one payee, each must sign the application exactly as the name appeared on the original warrant. See Page 1, NAME (Exactly as it appears on warrant). An individual applying in his/her own behalf need not show his/her title, or name of firm, corporation, or governmental agency.
The completion of this application will enable the State Controller to send you a duplicate warrant to replace the original which was reported as never received, lost/destroyed, or stolen.
A filled-in STD 435 example: an individual requests a duplicate for a lost warrant
How to fill out STD 435, box by box
Date requested, warrant number and amount
Fill in Date Requested, Agency Telephone Number, Warrant Number, Requesting Agency, Unit / Section, Date Issued (MM-DD-YY), Identification Number, Amount (Net Only), Name (Exactly as it appears on warrant) and Fund Number.
Enter the Name, Address and Zip Code.
Please fill out the application carefully and completely. All blanks must be filled.
IMPORTANT: For your records, please make a copy of Page 1 or note the warrant number, date issued, amount, and agency telephone number.
SCO USE ONLY
SCO USE ONLY: Status, Effective Stop Date, Replacement Number, Replacement Date.
Mailing Address
After I, under Mailing Address enter Street, City, State and Zip Code.
never received; lost/destroyed; stolen
Certify or declare: That the State of California Controller's warrant was never received; lost/destroyed; stolen on or about (give date, including year), under the following circumstances:
That declarant is the owner or custodian of said warrant, has not cashed or transferred same, and is entitled to possession thereof; or the corporation, partnership, or government agency in whose behalf declarant makes this application, is the owner or custodian, has not cashed or transferred same, and is entitled to possession thereof.
If a corporation is owner or custodian
(If a corporation is owner or custodian) That declarant is an officer, to wit TITLE of, a corporation and is authorized to make this application and enter into the indemnity agreement provided herein on behalf of said corporation.
Signature of declarant(s)
Under Signature of Declarant(s), certify (or declare) under penalty of perjury that it is true and correct, and enter the Date Signed.
Enter the Title if signing for a Corporation, Partnership or Government agency, the Corporation, Partnership or Government Agency Name if applicable, and the Daytime Telephone Number, including the area code.
Application is made to the State Controller to issue a duplicate warrant in lieu of said original warrant, and declarant, or partnership or corporation in whose behalf he applies, agrees to indemnify and hold harmless the State, its officers and employees, from any loss resulting from the issuance of said duplicate warrant. (This indemnity agreement is not applicable if the payee of the lost or destroyed warrant is any governmental agency or officer thereof; or if the State of California, agency or officer thereof, is owner or custodian.)
If your situation is different
You receive the original warrant before completing the application
If you receive the original warrant prior to completing this application: cash the original warrant and destroy this application.
You have signed and returned the application
Once the application has been signed and returned to the State Controller's Office, DO NOT CASH THE ORIGINAL WARRANT.
If the original warrant is presented for payment, it will not clear through the banking system, and processing charges may result.
The original warrant is invalid. Please destroy if received or recovered.
Common questions about STD 435
Where do I file it?
After completion, mail all original pages to: State Controller's Office Administration and Disbursements Division - Post Issuance Unit P.O. Box 942850 Sacramento, CA 94250-5871
Where to get help with STD 435
Inquiries can be made to the requesting agency. See top of Page 1, AGENCY TELEPHONE NUMBER.
Sources
[1] STD 435 (Rev. 10/2019), Request for Duplicate Controller's Warrant / Stop Payment, State of California Controller's Office (the Official source link on this page).