If your name was listed on the previous page, you may begin the process of claiming these funds by filling out the inquiry below.
Please do NOT complete the inquiry below if your name was not listed.
Name of the MEMBER the property is in: *
Your Name: *
If you are not the LASERS member, please state your relationship to the member:
Phone Number (for LASERS to contact you) *
Email Address (for LASERS to contact you) *
Mailing Address *
6 + 0 = ?Please prove that you are human by solving the equation *