Fillable Ca Lottery Winner Claim Form printable pdf download
Ca Lottery Claim Form Printable. Web find the california lottery claim form you need. Web 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.
Fillable Ca Lottery Winner Claim Form printable pdf download
Fill out and sign the claim form, and don’t forget to sign your winning ticket. Change the blanks with unique fillable areas. A winner does not have to be a u.s. Web mail your winning ticket and claim form. Each claimant must complete this election form within 60 days or all Web the information requested on this form will be used to validate and process your claim in accordance withthe california state lottery act of 1984 (gov't) code § 8880 et seq). For multiple ownership claims, group all winners must choose the same payment option. Web step 1 prizes of $1 to $599 should be claimed at participating california lottery retailers. Web the lottery claim form will have 30% withheld from all prizes. Choose the get form button to open the document and start editing.
Or, mail this claim form, at your own risk, with the original ticket stapled on the front, to: Although state and local taxes are not Choose the get form button to open the document and start editing. Web the lottery claim form will have 30% withheld from all prizes. Pick up the claim form at any lottery retail location or district office, or download the form (pdf). Web mail your winning ticket and claim form. (only one signature is permitted) 5. Web mail this claim form, with the ticket stapled on the front, to: Choose the correct version of the editable pdf form from the list and get started filling it out. Web mail your winning ticket and claim form. Web 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.
