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Once you have completed the form and accepted the terms and conditions your information will be submitted to Credit Union Deposit Guarantee Corporation.

Requestor Information

Full Name:*
Current Address:*
Address Line 2:
City:*
Province:*
Postal Code:*
Telephone Number:* (including Area Code)
Email Address:
Best way to contact you:*	Telephone Email (an email address must be provided in the field above) Mail

Account Holder Information

Name of Account Holder:*
Your Relationship to the Account Holder:*
Name of Credit Union Where Account Originally Held:

Terms and Conditions Acceptance*

Click NEXT to review and accept the Terms and Conditions before submitting the contact form information to Credit Union Deposit Guarantee Corporation.

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Unclaimed Balances Contact Form

Requestor Information

Account Holder Information

Terms and Conditions Acceptance*