COT/ST 912 Rev.5/16
UNCLAIMED PROPERTY CLAIM FORM & CHECKLIST INSTRUCTIONS
If you are claiming property in the possession of the state,
you must complete and sign this claim form and forward
it, together with the supporting documentation discussed
below, to the Unclaimed Property Section at the address
shown on the front.
Supporting Documentation for Claims
All claimants must establish (1) their personal identity
and (2) entitlement to the property sought.
1. You must submit two forms of personal identication,
one of which must show your social security
number. If the claim is being led by a party acting
as a guardian, executor, administrator or in some
other representative capacity, the appropriate
documentation demonstrating entitlement to make
the claim in that capacity must also been enclosed.
1. Entitlement to the property sought must be
established by the following types of documentation
a. BANK ACCOUNT - A passbook, bank statement,
or cancelled check.
b. DIVIDEND - Proof of afliation with company.
c. STOCK - The original stock certicate.
d. INSURANCE PROCEEDS – Insurance policy or
e. UNCASHED INSTRUMENTS - Original certied
check, money order, travelers check or other
UNCASHED WAGES - Proof of employment.
The state of Maryland does not charge a fee for returning
your property to you. Signing an agreement to have
someone assist you in recovering unclaimed property may
entail the payment of substantial fees. Effective July 1,
1991, such an agreement is unenforceable in Maryland if
it covers property which has been in the state’s custody
for less than two years.
In the absence of any of the foregoing evidence and
for claims of other types of property, you should submit
copies of the best evidence of ownership available.
If an account was originally opened jointly with the names
connected by “and” (John and Mary Doe), both parties
must make claim for the funds. If one of the two
parties is deceased, attach a copy of the
appropriate death certificate.
Only send in copies of documentation.
Please write legibly on all forms.