This form is designed to identify the correct person in your firm to handle your Utah Unclaimed Property functions. This is to identify the correct person we would contact to clarify your policies and procedures and also coordinate an audit of your compliance with the Utah Unclaimed Property Act.

Please answer all questions on this form that are relevant to your operation within 10 days.

To verify the veracity of this Survey Monkey request you may contact our office at (801) 715-3300 or (888) 217-1203.

1. Contact Information

2. Please insert the assigned Utah Holder ID number if you know it here: