Hi there, @cstokes.
Thank you for reaching out to the Community.
Allow me to help you further to get your printing alignment back to normal.
An outdated Adobe version can lead to a problem when printing in QuickBooks. You can check this article for more information about Downloading Acrobat Reader.
Once you have the most recent version, let's go ahead and try to print a check in QuickBooks. You can follow this article to help you guide with detailed and steps in setting your alignment: Set up printing alignment.
Reach out to me by clicking the Reply button if you have any other issues or concerns, and I'll get back to you as soon as possible. Have a great day!
