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24 views

Request Form

Uploaded by

mcmarie1103
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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In order for us to confirm your identity, please provide at least two copies of identification, preferably those used in previous

transactions with ICBC.


For example, B.C. driver's licence, personal health number, incorporation number, licence plate number, supplier number, and/or previous claim
numbers. If filing on behalf of another person or a company, we also need information to confirm your knowledge of the payee's identification and
your right to the unclaimed fund. Please ensure that you provide us with your contact information.
Mailing address:
ICBC Unclaimed Funds
Room 152B, 151 West Esplanade
North Vancouver, BC V7M 3H9, Canada

Requested item:
Payee name: SCHOONER, KARLIE Item number: VP06870144 Date unclaimed: 2024-05-29

Information about yourself

First name Last name Street address City


Karlie Schooner 9119 97th Ave Fort St John

Middle name Date of birth Province Postal code


Mckenna 2003-09-11 BC V1J 5E9

B.C. driver's licence Phone


Country
02224675 2502632306

Certification: I declare that this request and the enclosed documents are, to the best of my knowledge, complete, accurate and true. I believe that I
am legally entitled to the unclaimed fund item identified above.

______________________________________________________ ______________________________________________________
Signature Date

Privacy act: The personal information requested is used to determine the rightful owner of the Unclaimed fund and is provided voluntarily by the
person filing a request. It is used for the sole purpose of making payments and/or administering requests under the authority of the Unclaimed
Property Act. Security provisions are in place to prevent unauthorised access to your personal information.

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