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Check Casher Forms

ALL documents that will be mailed to the Non-Depository Deputate or placed in the drop-box MUST be sent electronically to the appropriate email address below.  If there is a paper check included in the mail for an application fee or otherwise, a copy of the check must be included in the email."

Licensing:                    ra-AskLicensing@pa.gov

Examinations:             ra-AskExams@pa.gov 

Compliance:                ra-AskCompliance@pa.gov

All forms, unless noted, are in PDF format.
 

 

License Application (PDF)
Use this form to apply for a Retail Grocery Store Check Casher license

 

Branch License Application (PDF)
Use this form to apply for a branch location of a new or existing Retail Grocery Store Check Casher license

 

Address Change Form (PDF)
Use this form to notify the department of any office location changes

 

Owner Officer Branch Manager (PDF)
Use this form to notify the department of Owner, Officer or Branch Manager changes

 

Contact Change Form (PDF)
Use this form to notify the Department of any changes to your primary contacts

 

Name Change Form (PDF)
Use this form to notify the department of business name changes

 

License Renewal (online only)
Renew a license online