Exhibit 99.5

 

Standard Lithium Ltd.

 

Request for Financial Statements

2026

 

In accordance with National Instrument 51-102 – Continuous Disclosure Obligations, registered and beneficial shareholders may elect annually to receive a copy of our annual financial statements and corresponding management discussion and analysis (“MD&A”) or interim financial statements and the corresponding MD&A, or both.

 

If you wish to receive these documents by mail, please return this completed form to:

 

TSX Trust Company

301 - 100 Adelaide Street West

Toronto ON M5H 4H1

or fax to 416-595-9593

 

Rather than receiving the financial statements by mail, you may choose to view these documents on the SEDAR+ website at www.sedarplus.ca.

 

You may also go to TSX Trust’s website at services.tsxtrust.com/financial statements and input code 7237A.

 

Please send me:

¨ Annual Financial Statements with MD&A

   
  ¨ Interim Financial Statements with MD&A
   

 

¨ Check this box if you wish to receive the selected financial statements electronically and print your email address below

 

By providing my email address, I hereby acknowledge and consent to all provisions outlined in the following: www.tsxtrust.com/consent-to-electronic-delivery

 

PLEASE PRINT

 

 

FIRST NAME  LAST NAME

 

 

ADDRESS OR E-MAIL ADDRESS

 

 

CITY PROVINCE/ STATE POSTAL / ZIP CODE

 

 

COUNTRY  

 

 

SIGNED:    
(Signature of Shareholder)