Request to trace dormant

savings or investments
Please answer as many questions as you can. The more information we have the more likely it is that we will
be able to trace any savings or investments you may hold. Use a separate form for each individual customer.
Please write in BLACK CAPITAL LETTERS inside the boxes. This helps us to process your form faster.

1 your full name title date of birth (essential) D D M M Y Y Y Y

surname

forenames in full

2 your current
address
address

town/city

Postcode is essential. postcode tel no preferably a mobile

3 previous name(s)
and/or address(es)
Please list any other name by which you have been known (eg name before marriage)

title
Only complete this
section for holdings surname
in your name.
forenames in full

What addresses have you lived at since the holding was opened? (Use a separate sheet if necessary.)
You need to provide all address 1
your previous addresses
to allow us to make a postcode dates D D MM Y Y Y Y to D D MM Y Y Y Y
full trace. Use a separate
sheet if necessary. address 2

Postcode is essential. postcode dates D D MM Y Y Y Y to D D MM Y Y Y Y

4 which account(s) or
investment(s) do you
Capital Bonds Guaranteed Equity Bonds Ordinary Account

Children’s Bonus Bonds Guaranteed Growth Bonds Pensioners Bonds

want us to trace?
Deposit Bonds Guaranteed Income Bonds Premium Bonds

Direct Saver Income Bonds Savings Certificates

Easy Access Account Investment Account Yearly Plan

FIRST Option Bonds ISA Any other Product

Fixed Rate Savings Bonds

Account/Holder’s number or
Bond/Certificate number (if known)

5 when was the

holding opened
date D D MM Y Y Y Y don’t know

– approximately?

6 what was the value

– approximately?
£ don’t know

NS&I 789 (2018/01)(WEB) please continue

t

overleaf and sign

7 is the holding in
your name?
yes If yes, please complete 9a and 9b below

no If no, please complete 8a, 8b and 9a below (please note, you must be legally entitled to act on the
other person’s behalf)

8a holdings in other
people’s names
What do you believe was the full name on the holding? (If you do not know the exact name, please give as much
information as possible, and in particular all first names including middle names, and any maiden name.)

title date of birth (essential) D D MM Y Y Y Y

surname

forenames

Please list any other name by which the holder has been known (eg name before marriage)

surname

forenames

8b previous
What addresses has the holder lived at since the holding was opened? (Use separate sheet if necessary.)

address(es) address 1

If applying on behalf of postcode dates D D MM Y Y Y Y to D D MM Y Y Y Y

someone else, you need to
provide all their previous address 2
addresses to allow us to
make a full trace. postcode dates D D MM Y Y Y Y to D D MM Y Y Y Y
Use a separate sheet
is the holder We will need the written authority of the holder before we can disclose information to you
if necessary. yes
still alive? or another third party.
Postcode is essential. no Please state your relationship to the holder and the date of death, and indicate whether you have
any of these documents:
probate
death certificate (“confirmation” in Scotland) copy of Will
lawyer’s letter advising of the
relevant Will terms Please do not send these documents or copies at this stage.
relationship
to holder

D D MM Y Y Y Y date of death

9a your signature
Declaration: I confirm that the information I have provided above is correct. If I am applying on behalf of another
investor, I have the authority to do so.
Once you have answered We will use the personal information provided to deal with your claim. We may retain claimants’ details for
as many questions as you regulatory and our own business requirements. We will not use this information for marketing purposes.
can please sign and
date in the presence
of a witness, who also signature date D D MM Y Y Y Y
needs to sign and date.
The witness cannot signature of
be a family member. witness date D D MM Y Y Y Y

9b name and name

address of
address
witness

postcode

10 what to do next • Make sure your form is fully completed, signed and dated.
• Send your form to Tracing Service, National Savings and Investments, Glasgow, G58 1SB
Thank you

NS&I 789 (2018/01)R(WEB)