Illinois Lottery Claim Form Printable CLAIMANT INSTRUCTIONS IMPORTANT USE BALL POINT PEN AND PRESS FIRMLY YOU ARE MAKING MULTIPLE COPIES If you believe you or someone you know has a gambling problem call 1 800 426 2537 1 800 GAMBLER for assistance 1 Complete back of ticket with name address and signature
WAYS TO CLAIM There are four ways to claim your prize depending on the prize amount VIEW DETAILS Congratulations Depending on how much you ve won visit a Illinois Lottery retailer a claim center in Chicago Des Plaines Rockford Fairview Heights or Springfield or fill out a claim form If your prize is greater than 10 000 or if you want to submit any type of group claim please schedule an appointment at a Claim Center or visit our website for other claim options on the When You Win found on the Illinois Lottery website Prizes up to 600 may still be claimed at Illinois Lottery retail locations Privacy Policy Disclaimer
Illinois Lottery Claim Form Printable
Illinois Lottery Claim Form Printable
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I Cash Claim Form Illinois State Treasurer Printable Pdf Download
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Failure to comply will result in your claim not being processed Thank you for your assistance NAME SSN What is your date of birth enter in xx xx xxxx format Are you or a close relative with whom you reside a Currently employed by the Illinois Department of the Lottery Illinois Lottery Be Smart Play Smart Must be 18 or older to play If you or someone you know has a gambling problem crisis counseling and referral services can be accessed by calling 1 800 GAMBLER 1 800 426 2537 or texting GAMBLER to 833234
The cash election form can be obtained from one of the Illinois Lottery s 5 prize payment centers or by calling the Springfield Office at 217 524 5147 The form must be received by the Lottery within 60 days after the date of the drawing Group winners of a jackpot prize must all choose the same payment option Illinois Lottery prizes of 10 000 or less may be claimed via the e claims process Why should I submit an e claim for my Illinois Lottery prize E claims provide you with a quick and secure method of submitting a claim for your Illinois Lottery prize E claims can be found here How long will it take after I submit my e claim to receive payment
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Print and fill out a claim form and winner questionnaire Make and keep a copy of your ticket and claim form Place the original ticket claim form and winner questionnaire in an envelope Include your return address on the envelope Address the envelope to Illinois Lottery Claims Department P O Box 19080 Springfield Illinois 62794 9912 Via an E Claims portal on the Illinois Lottery website prizes of up to 10 000 can now be claimed online The E Claims portal serves as a front end for winners to submit a claim
George W Dunne Cook County Office Building 69 W Washington Chicago IL 60601 1 312 793 2385 8 30 AM 4 30 PM CT Regional Office 1 2 6 9511 Harrison St Des Plaines IL 60016 1 847 294 4851 8 30 AM 4 30 PM CT 200 S Wyman St Rockford IL 61101 1 815 987 7018 8 30 AM 4 30 PM CT FAIRVIEW HEIGHTS Fairview Heights IL 62208 1 618 624 8670 8 Choose Appointment Your Info Confirmation Congratulations on your winning ticket Our priority is to safely and quickly help you redeem your Illinois Lottery winnings Please book an available time with your preferred claim center below For safety reasons no walk ins will be allowed We appreciate your patience and understanding
Illinois Lottery E Claims FAQ Illinois Lottery
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https://www.illinoislottery.com/content/dam/il/pdfs/winning/fillableCLAIM_FORM.pdf
CLAIMANT INSTRUCTIONS IMPORTANT USE BALL POINT PEN AND PRESS FIRMLY YOU ARE MAKING MULTIPLE COPIES If you believe you or someone you know has a gambling problem call 1 800 426 2537 1 800 GAMBLER for assistance 1 Complete back of ticket with name address and signature
https://www.illinoislottery.com/winning/when-you-win
WAYS TO CLAIM There are four ways to claim your prize depending on the prize amount VIEW DETAILS Congratulations Depending on how much you ve won visit a Illinois Lottery retailer a claim center in Chicago Des Plaines Rockford Fairview Heights or Springfield or fill out a claim form
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Illinois Lottery Claim Form Printable - Be Smart Play Smart Must be 18 or older to play If you or someone you know has a gambling problem crisis counseling and referral services can be accessed by calling 1 800 GAMBLER 1 800 426 2537 or texting GAMBLER to 833234
