Line number Assign consecutive line numbers in ascending order per payment to be canceled. Amount Enter the amount of each payment to be canceled or reversed. Run date Enter the date the warrant or direct deposit payment was issued. Reason code Use codes 301-316 when canceling a single payment. Use codes 317-330 when canceling an entire document with multiple payments.
Fund Enter the appropriated fund number.
Payee name Enter the name that the payment was issued to. Replacement Check this box if canceling as a lost, stolen or forged warrant that will require the warrant to be replaced. The signature must be original or the PCV will be rejected to the agency. Telephone Enter the area code and telephone number of the contact person. Use only regular phone numbers.