REPORTING INSTRUCTIONS 

 Report Cover Page 
 
This form must be submitted in hard copy. 
  
 Section 1                                
 In this section, identify your company 
 and designated contact. The 
 designated contact will be 
 responsible for all ongoing 
 interaction with the Arizona 
 Unclaimed Property Section.  Future 
 correspondence and holder 
 reimbursements will be sent to the 
 address reported at this time.    
 An officer of your company may 
 change the designated contact 
 person/contact information by 
 completing Arizona Form 285UP and 
 Arizona Form 650A(Sections 1 and 2). 
     
 Section 2 
 In this section, identify your 
 company’s customer contact. 
 Unclaimed Property clients will often 
 have questions that can only be 
 answered by an employee of your 
 company who is not only familiar with 
 your escheatment policy, but also 
 your internal procedures and 
 practices.    
  
 Section 3 
 In this section, summarize and classify 
 the property you are reporting.   
  
 Section 4 
 In this section, carefully read the 
 holder declarations and indemnity 
 agreement.   
  
 Section 5 
 In this section, the signature of the 
 employee authorized to execute the 
 report is required.  
  
                                          Arizona Unclaimed Property Reporting Manual