Your Préname/Name

Address

Postal Code/ CITY

Electricity meter

Address

Postal Code/ City

Did à [your city], le [précate date].

Object : Letter of request for a lost chèque

Madam, Sir,

I, the undersigned;[your name and first name], beneficiary of the N°[indicate the number of the cheque] in the amount of [state amount in words and its currency] or in the amount of [state amount in figures and its currency] drawn on [name of bank] andéput on [date of’sending].

This check never reached me.

If, however, it should come to be found, I undertake to return it to you and not to present it for collection.

Please accept, Madam, Sir, the expression of my respectful greetings.

 [Your signature]