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California Lottery Claim Form 2019-2021

And I am not a Resident Alien I am related to a Lottery Retailer TICKET INFORMATION Attach the original ticket to this form with your legal name, signature and address showing. Enter the information below (Scratchers 13-18 digit ticket number is located on back of ticket; Draw Game 18 digit ticket number is located on front of ticket). Attach another claim form for more than one ticket. Ticket Number: Prize Claim: $ I declare, under penalty of perjury under the laws of the State of.

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YOU WON. CLAIM YOUR PRIZE!

NOTICE: All California Lottery District Offices are temporarily closed to the public. See below for claiming options.

You have two ways to collect your prize:

Option 1: Visit a Lottery retailer

Just take your winning ticket to a Lottery retailer and the clerk will hand you cash on the spot. Talk about easy!

Option 2: Mail your winning ticket and claim form

Download the Claim Form (PDF) or pick one up at any Lottery retail location or District Office. Fill out and sign the claim form, and don’t forget to sign your winning ticket, too! Mail the original ticket and the signed claim form (along with the Claim Authorization Receipt from a retailer, if you have it ) to:

We recommend sending everything by certified mail and saving a copy of every item you submit. We’re not responsible for mail, tickets or claim forms that are late, lost, damaged, misdirected, misaddressed, incomplete or illegible. So, protect your prize by keeping a copy of your winning ticket and claim form. And always sign the back of your ticket.

Your draw game ticket must be postmarked or received by Lottery offices within 180 days of the winning draw date, except that, in the case of Mega Millions and Powerball Jackpots, the tickets must be postmarked or received within one year from the winning draw date. Scratchers ® tickets must be postmarked or received by Lottery offices within 180 days of the announced end of game date.

State law prohibits the sale of a Lottery ticket or the payment of a prize to anyone under 18. Tickets failing validation are void.

All California State Lottery game tickets, transactions, claims and prize payments are subject to California State law and the California State Lottery rules and regulations. By participating, you agree to comply with all laws and Lottery rules and regulations.

You’ve Won! Now claim California Lottery prizes $599 and under at any Lottery retailer or by mail. For prizes $600 and over or 2nd Chance prizes, see instructions provided here.