Hayward, CA · Alameda County
Affidavit of Unclaimed Monies
This affidavit lets a legal owner or custodian request a replacement for an uncashed City of Hayward check and explain what happened to the original.
What this form is
Use this affidavit to request a replacement check when a City of Hayward check was not cashed within six months and became stale dated. The claimant provides their name, check number, amount, date, payee, an explanation of what happened to the check, and contact details. The signer certifies the information is true and correct under penalty of perjury.
Who needs it
A legal owner or custodian of a City of Hayward check that was not cashed within six months may use this affidavit to request a replacement.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer certifies the information under penalty of perjury and signs and dates the affidavit.
How to submit this form
- 1
Download The Affidavit
Download the Affidavit of Unclaimed Monies.
- 2
Complete The Claim Details
Enter your information and the check details, then indicate what happened to the check.
- 3
Attach The Check If Applicable
The form includes an option to indicate that the check is attached.
- 4
Sign And Submit
Sign and date the affidavit, then submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Affidavit of Unclaimed Monies for?
- It lets a legal owner or custodian request a replacement City of Hayward check that was not cashed within six months and became stale dated.
- What information does the affidavit ask for?
- It asks for the claimant’s name and contact details, check number, amount, date, payee, and an explanation of what happened to the check. The signer certifies the information under penalty of perjury.
- Do I need a notary for the Affidavit of Unclaimed Monies?
- No. The document is signed without a notary; the signer certifies the information under penalty of perjury and signs and dates the affidavit.
- How do I submit the Affidavit of Unclaimed Monies?
- Submit it to the city department named on the form; check the city website for current contact details.