Unclaimed Property Forms

You may be required to submit one or more of the following documents to support your claim as legal owner of unclaimed property in the custody of the Department of Revenue. Please refer to the claim form instructions to determine if you will be required to complete and submit these documents in order for your claim to be approved.

The forms listed below are Adobe pdf fillable forms that can be completed online, printed on your printer and then mailed to us.

Wisconsin Department of Revenue
PO Box 8982
Madison, WI 53708-8982
Phone: (608) 264-4594

Claimants

Form Name Description
Form UCP-240
(Fill-In Form)
Declaration of Heirship
Form UCP-100
(Fill-In Form)
Uniform Affidavit of Lost Bond Certificate
Form UCP-140
(Fill-In Form)
Release By Owner
Form UCP-150
(Fill-In Form)
Release by Co-Owner
Form UCP-160i Claim Instructions
Form UCP-260
(Fill-In Form)
Release by Heir
Form UCP-281
(Fill-In Form)
Acknowledgment/Report Of Escheated Estate
External Forms
Affidavit of Transfer
W-9 Request for Taxpayer ID Number (Mutual fund registration)

Holders

Form Name Description
Form UCP-130
(Fill-In Form)
Holder Verification Report – 2013
Form UCP-135
(Fill-In Form)
Holder Request for Extension of Due Date
Form UCP-120
(Fill-In Form)
Unclaimed Safe Deposit Box Identification Form | Instructions
External Forms
NAUPA/HolderReimbursement Request Form

Page last updated June 26, 2014