NJ Lottery How to Fill Out a Claim Form

lottery claim form
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Retain a personal copy of both sides of the ticket and claim form Prizes $200,000+ In Person Madison Lottery office

PRIZES OF $101 OR MORE · Sign the back of the ticket in the space provided; · Fill out a claim form, available at your local lottery retailer Or use the online Please provide sufficient evidence to substantiate your claim including all original lottery tickets listed below and your name and address details clearly

cow slot machine A for myself as the sole winner B as a member of the winning group designated on the attached IRS Form 5754  So you've won Now what?! Here's how you can claim your prize! Visit