If you hold shares in a UK company, you can request the company to issue you a replacement for a share certificate that has been lost or destroyed by tendering this Request for New Share Certificate to the company's secretary.

The shareholder / member indemnifies the company against any claims or costs arising as a result of the company issuing the new certificate. The member agrees to return the replacement certificate in the event that the original is located.

This United Kingdom Request for New Share Certificate form is provided in MS Word format for easy downloading and printing.