Equity Refund Inquiry Form

Disclaimer: Please do not fill out the form below unless you have first identified a name on the List of Unclaimed Equity 2022. Thank you!

Name on Account(Required)

First Last

Account Number (if known) or Location of Service While Served by SVEC

Your Name(Required)

First Last

Current Address

Street Address Address Line 2 City State ZIP Code

Phone(Required)

If the Member is Deceased, Date of Death (mm/dd/yyyy)

Estate's Representative

Mark One

Executor

Administrator

Next of Kin

Address

Street Address Address Line 2 City State ZIP Code

Phone

This field is for validation purposes and should be left unchanged.