Claim a Prize by Mail

lottery claim form
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INSTRUCTIONS TO WINNER •You must complete this form to claim a cash prize of $100 or more at a Lottery office or

Mail in Claim Form Instructions Prizes will only be paid to the rightful ticket holder or Group Trustee Prize Claim Form must be completed If Group Win , a Group Win Agreement

jharkhand lottery Prize Claims, Nebraska Lottery Box 95145, Lincoln, NE 68509-5145 or redeem at the nearest Lottery Claim Center listed on the reverse side of form  PA LOTTERY IS NOT RESPONSIBLE FOR LOST OR STOLEN TICKETS OR CLAIM FORMS LOTTERY TICKET AND THE REQUIRED PORTIONS OF THIS CLAIM FORM PROPERLY MAY