WINNER CLAIM FORM

lottery claim form
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Please send a copy of your ID along with the Prize Claim Form and winning ticket You can also pick up a prize claim form from your local lottery retailer (or

claim form to any Missouri Lottery office A B C In addition to the claim form, it is your responsibility to complete IRS Form W-9 Winnings of greater than $100,000 must be redeemed in person at the Lottery Claims Center INSTRUCTIONS: 1 Complete the form on the reverse side entirely Use

key west poker run Where do I claim my prize? · Download and print a Claim Form: or · Visit a PA Lottery retailer and ask for a Claim Form · Visit a PA Lottery must be claimed in person at Lottery headquarters $601