Unclaimed Funds: Lost/Stolen Check Affidavit
Solano Superior Court · Local Forms
Verified current as of July 22, 2026
This form is used when someone has lost or had stolen a check that was issued to them, and they need to claim the money from the court instead of the original check. A person would use this form if they never received a check they were owed, or if their check was lost or stolen and they want the court to help them get the funds.
This form must be printed and filled by hand, or opened in Adobe Acrobat.