Fill in the recipient and your address; for bills, include an account number; sign it; keep proof of payment. Fill in the name of the payee.A money order is a safe alternative to cash or a personal check; it works like a check so you can cash it or deposit it into a bank account. Instructions for Completing Money Order Inquiry Form. Write the name of where the money order is going. Money orders should be made payable to State Health Department. Fill in the recipient's name. Fill in the name of the recipient in the "pay to" section. Complete the fields below to proceed with your refund request. If you don't have the original copy of the money order or receipt, please fill this form instead.

Sample Money Order Form With Payment In Virginia

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