Unclaimed Capital Credits Inquiry

Unclaimed Capital Credits Inquiry
As a current or former member of Continental Divide Electric Cooperative, you may be owed retired capital credits. To determine if you are eligible for an unclaimed capital credit check, please provide information for Numbers 1-5. If you are submitting information on behalf of someone else, provide information for Numbers 6-11. Submitting this form does not guarantee a disbursement will be made.
1. Please provide the name you used to establish your CDEC electric account and the last 4 digits of your Social Security Number. If you are inquiring about capital credits for a commercial entity (business), please provide the federal tax ID number (EIN).
2. Please provide your current contact information below:
Phone Number and Contact Information

Phone Number

Mailing Address

CityState

Zip Code
3. Please provide the physical address(s) that received CDEC electric service. For each address, please list the year(s) service was received at the location.
4. If you are requesting a name change for past and/or future capital credit checks, state why. Please attach appropriate legal documentation in the box at the bottom of the page, as proof.
5. If you want to donate your capital credits to CDEC’s Education Foundation, select an option below. You will also need to complete an Assignment of Capital Credits Agreement. Copy and paste the following link into a browser window https://cdec.jotform.com/243124807132044

Apply all future years of retirementApply only the current year of retirement
If you are submitting information on behalf of someone else, please answer Numbers 6-11 below.
6. If you are making an unclaimed capital credits inquiry on behalf of someone else, please provide that person's name and the last 4 digits of their Social Security Number (if available):
7. What is your relationship to this individual or business?
8. If the individual is not deceased, please provide their current contact information below. If the individual is deceased, please attach appropriate legal documentation in the box at the bottom of this form, as proof.
Phone Number and Contact Information

Phone Number

Mailing Address

CityState

Zip Code
9. Please provide the physical address(s) where the individual or commercial entity received CDEC electric service. Please list the year(s) service was received at the location.
10. If you are making an unclaimed capital credits inquiry on behalf of someone else and you would like to make a name change for past and/or future capital credit checks, state why. Please attach appropriate legal documentation in the box at the bottom of the page, as proof.
11. If you want to donate the individual's capital credits to CDEC’s Education Foundation, select an option below. You will also need to complete an Assignment of Capital Credits Agreement. Copy and paste the following link into a browser window https://cdec.jotform.com/243124807132044

Apply all future years of retirementApply only the current year of retirement
Upload any legal documentation required to process this inquiry.

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Unclaimed Capital Credits Inquiry

If you are submitting information on behalf of someone else, please answer Numbers 6-11 below.