St. George Forms & Applications

Application for City of St George Unclaimed Property

The information that you provide is only used to connect your identity with the property address and process your claim. All the information is required to reissue the payment. Please allow four weeks for the payment to be reissued.

Fields with an are required.

Please provide the check number and the amount of the check from the letter or email you received:

Utility Account Number:

Check Number:

Check Amount:

First Name:

Last Name:

Date of Birth:

Last four digits of your Social Security #:

Copy of Drivers License ONLY file types accepted: JPG, JPEG, GIF, PNG, PDF

Email Address:

Confirm Email Address:

Cell Phone #:

Status of the Check:

The check has been lost, please reissue it, and send it to the mailing address provided.

The check has been cashed.

Date Check was Cashed:

Mailing Address to Mail the Payment to:

Mailing Address:

City:

State:

Zip Code:

Data Privacy and Data Security – For information on the City privacy and security practices, see the City Privacy Notice at: www.sgcity.org/privacypolicy/
By signing this application, I certify under penalty of perjury that the information provided on this application is true, and that giving false or misleading information shall be cause for the City to deny the request.

Please type your Full Name (Signature):

Today's Date: