Stop-Payment-Notice-form Stop Payment Notice "*" indicates required fields PURPOSE OF THIS FORMFor authorised officers of the below named client to request the stop payment as detailed in this form.INSTRUCTIONS FOR COMPLETIONAll fields are mandatory and must be completed by two account signatories on the debit account before returning the form to the CDF.SECTION 1 – ACCOUNT DETAILSAccount Name*Account No.*Contact*Telephone*Email* SECTION 2 – CHEQUE DETAILSPlease place a stop payment order and refuse payment upon presentation of the following cheque/s:PayeeDate of ChequeCheque NumberAmountPayee (1)*Date of Cheque (1)* Cheque Number (1)*Amount (1)*Payee (2)Date of Cheque (2) Cheque Number (2)Amount (2)Payee (3)Date of Cheque (3) Cheque Number (3)Amount (3)Payee (4)Date of Cheque (4) Cheque Number (4)Amount (4)Payee (5)Date of Cheque (5) Cheque Number (5)Amount (5)I/We the below authorised signatories on the above listed CDF account, approve the CDF to complete the requested stop payment as detailed in Section 2 of this form.Name of Authorised Person (1)*Name of Authorised Person (2)*Signature of Authorised Person (1)*Your NameYour NameYour NameYour NameSignature of Authorised Person (2)*Your NameYour NameYour NameYour NameDate (Authorised Person 1)* Date (Authorised Person 2)* Disclosure Statement | Privacy Collection StatementSTOP PAYMENT 2026/09