Atascadero, CA · San Luis Obispo County
Unclaimed Money Request Form
Claimants use this form to request payment of previously unclaimed City of Atascadero money and explain the grounds for their claim.
What this form is
This form lets a person or entity claim a previously unclaimed check from the City of Atascadero. The claimant provides their name, address, the amount claimed, and the grounds for the claim, then signs and dates a declaration under penalty of perjury. The city section records whether the claim is accepted or rejected and includes fields for check details.
Who needs it
A person or entity claiming previously unclaimed city money, or a representative identified on the form, can use this request.
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 form is signed and dated without a notary; it includes a declaration under penalty of perjury, but no separate notarized attachment or step is stated.
How to submit this form
- 1
Download The Form
Download the Unclaimed Money Request Form.
- 2
Complete The Claim
Enter the claimant’s name and address, claimed amount, and grounds for the claim.
- 3
Sign And Date
Print the claimant’s name, sign and date the form, and provide a phone number.
- 4
Submit To The City
Submit the completed form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What is the Unclaimed Money Request Form for?
- It lets a claimant request a previously unclaimed City of Atascadero check and state the grounds for the claim.
- What information does the form ask for?
- It asks for the claimant’s name and address, the amount claimed, the grounds for the claim, a printed name, signature, date, and phone number.
- Do I need a notary for the Unclaimed Money Request Form?
- No. The form is signed and dated without a notary. It includes a declaration under penalty of perjury, but no separate notarized attachment or step is stated.
- How do I submit the Unclaimed Money Request Form?
- The form does not state a submission method or contact details. Submit it to the city department named on the form; check the city website for current contact details.