Unclaimed Property - Claim Form and Filing Instructions

Request for Unclaimed Property Form (PDF)

Request for Unclaimed Property Form - en Español (PDF)

Filing Instructions
On the Request for Unclaimed Property Form, the following fields must be filled in completely to process your claim:

  • Check Amount
  • Check Date
  • Check Number
  • City
  • Claimant or Authorized Agent Signature
  • Date
  • Daytime Phone Number
  • Payee Full Name/Business Name
  • Social Security Number/Taxpayer ID
  • Street Address

If you are filing a claim for which there are multiple payees on the check, please note that each payee must sign the claim form and submit the required documentation. In addition, your signature will need to be notarized if your claim exceeds $500.

Documentation
The following documentation must also be provided to our office when filing your claim:

     For Individuals

  • A clear, visible copy of current photo identification for each Claimant
  • Verification of address, if mailing address is different from original mailing address or photo identification
  • Death Certificate (if making claim for deceased original owner)

     For Businesses

  • Copy of current photo identification for the authorized agent signing the form
  • Letter of Authorization on Company letterhead with the names of officers or officials with authority to sign and claim on behalf of the business.
  • If your company merged with another company, a copy of the merger agreement
  • If your company was dissolved, a copy of the articles of dissolution

Mailing Documents
Mail the completed claim form and documents to the following address:

City of Rohnert Park

Finance Department
 Unclaimed Property
 130 Avram Ave
 Rohnert Park, CA 94928

When our office receives your completed claim form, we will review it carefully. If the evidence is not adequate to prove your ownership, or if a subsequent payment has been processed, our office will contact you or return all documents submitted with a letter stating why the claim is incomplete or being denied. Please allow 60 days to process your claim.

Questions
For questions or additional information, please contact the City of Rohnert Park Accounts Payable Department at 707-585-6710 or accountspayable@rpcity.org.