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How to Submit a Request for Mutilated Currency Examination

Personal deliveries of mutilated currency are not accepted at this time.

All requests for mutilated currency examination for possible redemption must be submitted using BEP Form 5283.

Form 5283 Instructions

Privacy Act Statement  Please read before submitting BEP Form 5283.

Certification Statement  Please read before submitting BEP Form 5283.

By clicking the button below you will be leaving BEP's website.  In order to successfully submit the form you must go through all pages and receive a Record Locating Number.

Form 5283