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