Office of the Treasurer: Walker R. Stapleton

The Great Colorado Payback

On occasion, a business will submit information inadvertently, due to bookkeeping or computer error. Additionally, a paycheck, money order, or escheated account owner may request the funds owed from the holder. Should such an event occur, a refund or reimbursement can be requested from the original holder. CRS

The Holder Reimbursement Form (PDF) can be filled out on your computer prior to printing. Use the TAB key to navigate the fields.