Ca Lottery Claim Form Printable CLAIM YOUR PRIZE Congrats on winning The fastest way to claim prizes 600 and over is at a Lottery District Office Lottery District Offices are open Monday through Friday 8 a m to 5 p m to accept claim forms No appointments are required Assistance is on a first come first serve basis
CSL 1242 Claim Form Cash all prizes of 599 or less at participating Lottery Retailers CLAIMANT INFORMATION PLEASE READ ALL INFORMATION AND INSTRUCTIONS BEFORE COMPLETING CLAIM FORM Last Name First Name MI Suffix Date of Birth Month SSN TIN Day Year Address 1 Address 2 City State Zip Code Country Email Phone Area Code For tax purposes only STEP 1 Prizes of 1 to 599 should be claimed at participating California Lottery retailers If your prize is 600 to 1 000 continue to Step 2 below STEP 2 Download the correct claim form from the Claim a Prize page Individual claimants complete Claim Form CSL1242
Ca Lottery Claim Form Printable
Ca Lottery Claim Form Printable
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I declare under penalty of perjury and the laws of the State of California including but not limited to California Penal Code sections 118 and 72 that I am the rightful owner of the 2nd Chance entry referenced in this form from the California State Lottery that I am 18 years of age or older and that all information provided is true and correct FOR YOUR PROTECTION WE RECOMMEND THAT YOU 1 COMPLETE THE BACK OF THE TICKET IN INK 2 MAKE A COPY OF BOTH SIDES OF YOUR TICKET WITH ALL NUMBERS EXPOSED 3 MAKE A PHOTOCOPY OF THIS FORM AND KEEP THE COPIES OF YOUR TICKET FOR YOUR RECORDS PART A The undersigned declare under penalty of perjury and the laws of the State of California 1
How can I claim my Lottery prize Can I be anonymous when I win the Lottery Will the Lottery share my personal information with any third party companies Are my lottery prizes taxable I signed up for a Lottery account so why can t I enter 2nd Chance draws My Lottery verification email isn t in my inbox Now what What is a verified account PRIZE CLAIMED I declare under penalty of perjury and the laws of the State of California including but not limited to California Penal Code sections 118 and 72 that I am the rightful owner of the winning ticket on this form that I am 18 years of age or older and that all information provided is true and correct
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If you are a Lottery group member you may claim your winnings on a Lottery Multiple Ownership Claim Form available at any California Lottery District Office All district offices are listed at the end of this handbook The decision to claim your winnings as a group must be made at the time you claim your prize CALIFORNIA LOTTERY MULTIPLE OWNERSHIP CLAIM ATTACHMENT BEFORE COMPLETING THIS FORM PLEASE READ PRIVACY NOTICE AND INSTRUCTIONS ON PAGE 2 9 NAME Enter one name only LAST 10 MAILING ADDRESS if needed 11 CITY GROUP WINNER INFORMATION FIRST For Office Use Only GROUP NAME MI Apt 12 STATE 13 ZIP CODE 14 COUNTRY Only if not USA 15
Each claimant must complete this election form within 60 sixty days or all claimants will be paid in 30 thirty annual installments In accordance with Federal and State law and California Lottery Regulations your payment election may not be changed at a later date CASH OPTION DEADLINE DATE POSTMARKED BY Each claimant must complete this election form within 60 days or all claimants will be paid in installments according to the game prize structure In accordance with federal and state law and California Lottery Regulations your payment election may not be changed at a later date YOUR PAYMENT ELECTION MUST BE POSTMARKED BY
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https://www.calottery.com/claim-a-prize
CLAIM YOUR PRIZE Congrats on winning The fastest way to claim prizes 600 and over is at a Lottery District Office Lottery District Offices are open Monday through Friday 8 a m to 5 p m to accept claim forms No appointments are required Assistance is on a first come first serve basis
https://static.www.calottery.com/-/media/Project/calottery/PWS/PDFs/claim-forms/CSL-1242-Claim-Form-2023.pdf?rev=7180d6747fae4703992beddf5d6cae1d&hash=35C3694B25AE8464317FA162BD799B7E
CSL 1242 Claim Form Cash all prizes of 599 or less at participating Lottery Retailers CLAIMANT INFORMATION PLEASE READ ALL INFORMATION AND INSTRUCTIONS BEFORE COMPLETING CLAIM FORM Last Name First Name MI Suffix Date of Birth Month SSN TIN Day Year Address 1 Address 2 City State Zip Code Country Email Phone Area Code For tax purposes only
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13 Ca Lottery Claim Form Templates Free To Download In PDF
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Ca Lottery Claim Form Printable - How can I claim my Lottery prize Can I be anonymous when I win the Lottery Will the Lottery share my personal information with any third party companies Are my lottery prizes taxable I signed up for a Lottery account so why can t I enter 2nd Chance draws My Lottery verification email isn t in my inbox Now what What is a verified account
