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Pay into the Unclaimed Trust Fund
Application Licensee/Firm Information
Your first name
Your last name
Please enter the Law Society number of the lawyer or paralegal responsible for file/matter
Your email address
Firm Name (If applicable)
Telephone Number
Street 1
Street 2
Street 3
Street 4
City
State/Province
Country/Region
Postal Code/ZIP
Please select one
Application pursuant to section 59.6(1) (a), entitlement to funds is known.
Application pursuant to section 59.6(1) (b), entitlement to funds is not known.
Service Request Type
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File Information
The name or number assigned to the file by your firm
Reference on file
Area of Law Selection Json
Briefly describe the facts of the file. Include any relevant addresses.
Client/Party Entitled Information
Client First Name
Client Last Name
Street 1
Street 2
Street 3
Street 4
City
State/Province
Country
Postal Code/ZIP
Party entitled to funds first name (if different than client)
Party entitled to funds last name (if different than client)
Street 1
Street 2
Street 3
Street 4
City
State/Province
Country
Postal Code/ZIP
If client is a corporation, full name of person instructing licensee on file/matter
Last known telephone number of party entitled to funds
Corporation number (if known) and corporation name of party entitled to funds
Date of birth of party entitled to the funds
Male, female or non-binary?
Driver’s licence number (if known) of party entitled to the funds
Any other information to identify person or to confirm validity of the person’s claim to funds (e.g. names, birthdates of children)
Are there additional clients/parties?
Yes
No
Full name of second client and last known address.
Full name of second party entitled to funds (if different than client) and last known address
If second client is a corporation, full name of person instructing licensee on file/matter
Last known telephone number of second party entitled to funds
Corporation number (if known) and corporation name of second party entitled to funds
Date of birth of second party entitled to the funds
Male, female or non-binary (Second party)?
Driver’s licence number (if known) of second party entitled to the funds
Any other information to identify second party or to confirm validity of the second party's claim to funds (e.g. names, birthdates of children)
Is there a third client/party?
Yes
No
Full name of third client and last known address.
Full name of third party entitled to funds (if different than client) and last known address
If third client is a corporation, full name of person instructing licensee on file/matter
Last known telephone number of third party entitled to funds
Corporation number (if known) and corporation name of third party entitled to funds
Date of birth of third party entitled to the funds
Male, female or non-binary (Third party)?
Driver’s licence number (if known) of third party entitled to the funds
Any other information to identify third party or to confirm validity of the third party's claim to funds (e.g. names, birthdates of children)
Is there a fourth client/party?
Yes
No
Full name of fourth client and last known address.
Full name of fourth party entitled to funds (if different than client) and last known address
If fourth client is a corporation, full name of person instructing licensee on file/matter
Last known telephone number of fourth party entitled to funds
Corporation number (if known) and corporation name of fourth party entitled to funds
Date of birth of fourth party entitled to the funds
Male, female or non-binary (fourth party)?
Driver’s licence number (if known) of fourth party entitled to the funds
Any other information to identify fourth party or to confirm validity of the fourth party's claim to funds (e.g. names, birthdates of children)
Is there a fifth client/party?
Yes
No
Full name of fifth client and last known address.
Full name of fifth party entitled to funds (if different than client) and last known address
If fifth client is a corporation, full name of person instructing licensee on file/matter
Last known telephone number of fifth party entitled to funds
Corporation number (if known) and corporation name of fifth party entitled to funds
Date of birth of fifth party entitled to the funds
Male, female or non-binary (fifth party)?
Driver’s licence number (if known) of fifth party entitled to the funds
Any other information to identify fifth party or to confirm validity of the fifth party's claim to funds (e.g. names, birthdates of children)
Trust Funds
Amount of Unclaimed Funds ($):
Date funds received by licensee in trust (YYYY-MM-DD)
Date funds were last active (YYYY-MM-DD)
Reason why funds were not paid out by licensee/firm to person(s) entitled
Are funds subject to trust conditions or competing claims?
Yes
No
Give complete details and attach relevant documents
Entitlement of Funds Not Known
Reason why entitlement to funds has not been determined
Efforts Made to Pay Out Funds
Letters, Faxes, e-mails sent?
Yes
No
Provide description of letters, faxes, emails sent including dates and outcomes
Phone calls made?
Yes
No
Provide description of phone calls made including dates and outcomes
Driver’s licence search
Yes
No
Provide description of licence search including dates and outcomes
411.ca internet search
Yes
No
Provide description of 411.ca internet search including dates and outcomes
Personal property (PPSA) search
Yes
No
Provide description of personal property (PPSA) search including dates and outcomes
Title search
Yes
No
Provide description of title search including dates and outcomes
Corporate search
Yes
No
Provide description of corporate search including dates and outcomes
Describe any other efforts:
Publication
Should the name of the client or person entitled be exempt from publication in The Ontario Gazette?
Yes
No
If Yes, please provide details
Acknowledgement
By selecting from the following options, I acknowledge that:
I have made attempts to contact the client or party entitled to the funds if they are known.
I cannot contact the client or party entitled because they are unknown to me.
The funds have been held in trust for at least two-years.
Yes
No
There are no unresolved issues or pending work relating to these funds.
Yes
No
I acknowledge that this constitutes my electronic signature
Yes
No
I certify, in the Province of Ontario, that the information set out in this application, and in any
Yes
No
