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Unclaimed Trust Funds Claimant's Application Form

Please note that this form cannot be saved while in use. We suggest that you allow yourself sufficient time to complete the form and have all materials you intend to refer to available.

Amended March 13, 2019

s.59.10 – 59.13 Law Society Act

By-law 10 of the by-laws of the Law Society of Ontario

If you have difficulty uploading your documents, or if your documents do not fit into an upload category, you may submit them by email to UnclaimedTrust@lso.ca.

A. CLAIMANT (A copy of photo identification must be submitted by the claimant with this claim form (i.e.) driver’s license, passport, provincial health card)

Name
Address
Home Telephone Number
Work Telephone Number
Email Address
Social Insurance No.
Driver’s License No.
Date of Birth
Corporation Number (if claimant is a corporation)

B. LAWYER/PARALEGAL TO WHOM TRUST MONIES WERE PAID

Lawyer/Paralegal in charge of your matter
Address
For what type of matter was the Lawyer/Paralegal retained (e.g. family law, personal injury, real estate etc.)

C. CLAIM INFORMATION
Provide copies of any documentation available regarding the matter (e.g. retainer agreements, accounts, reporting letters, copies of cancelled cheques, receipts etc.)

Amount of Claim:
Date payment made to Licensee/Paralegal:
Why was the trust money left unclaimed?

Please provide identifying documentation such as a driver’s licence.

Please provide proof of payment made to the licensee such as a cheque payable to the licensee (front and back) or receipt.

If you wish, please provide any other document that may be relevant to this application.

D. CERTIFICATION

I
of

in the Province of Ontario, certify that the foregoing information is complete and correct to the best of my knowledge.

DATE

SIGNATURE

I acknowledge that this constitutes my electronic signature.

Thank you.

Please click here to print a copy of this form for your records before submitting.

Please don’t forget to submit after printing.

If you have difficulty uploading your documents, or if your documents do not fit into an upload category, you may submit them by email to UnclaimedTrust@lso.ca.

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