Unclaimed Property Verification Checklist

Claimant Full Name

First NameLast Name

Claimant Email Address

example@example.com

Claimant Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Property Reference Number or ID

Type of Property

Last Known Address of Property Owner (if applicable)

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Proof of Ownership Provided?

Upload Supporting Documents (proof of ownership, identification, etc.)

Verification Steps Completed (select all that apply)

Describe Any Issues or Discrepancies Found During Verification

Final Action Taken

Date of Verification

Date