STANDARD CLAIM FORM

lottery claim form
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Lottery Prize Claim Declaration Form For Prizes of $1,000 or more Claimant Personal Information (Complete full legal name as shown on government issued

Fill out and sign the claim form, and don't forget to sign your winning ticket, too! Watch this short video to ensure you complete your claim form correctly

lottery ticket fax Claim form · Fill out a Claim Form online and print for postal mailing, · Send us an e-mail to request a form, · Go to your local retailer for a form, or · Call us

lottery redult INSTRUCTIONS FOR COMPLETING CLAIM FORM Use Ball Point Pen CLAIMANT 1 Enter first name and then last name 2 Enter Address 3 Enter City