AFLV West 2020 | Refund Check Processing Form
Please submit by Friday, April 3, 2020.
  • Payee Information

  • Please only enter data for Payee Individual OR Payee Company.
  • Please just list the numerical amount. Do not add a "$".
  • Change in Payee

    If the payee listed above is different than the original submitting payor, please provide an explantion below.