WINNER CLAIM FORMMail to: N.Y.S. Gaming Commission, Division of Lottery P.O. Box 7533 Schenectady, NY 123017533Instructions on the Back of this FormFor more information, visit our website at www.nylottery.ny.govCLAIMANT.

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How to fill out the NY Lottery Winner Claim Form online

Claiming your lottery prize can be an exciting yet daunting process. This guide will walk you through filling out the NY Lottery Winner Claim Form online, ensuring you provide all necessary information clearly and accurately.

Follow the steps to complete your claim form online seamlessly.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin filling in the legal last name and first name in the designated fields. Ensure you print clearly.
  3. Select the appropriate claimant type by checking one option: Individual, Corporation, Partnership, Trust, or other. If there are multiple claimants, each must complete a separate form.
  4. Provide your complete address including street number, street name, apartment/suite/floor number, city, state, and zip code.
  5. Enter your U.S. Social Security Number or Federal Taxpayer Identification Number in the specified field.
  6. Fill in your date of birth in the format MM-DD-YYYY.
  7. Indicate your residency/citizenship status by checking the appropriate option: U.S. Resident/Resident Alien or Non-Resident Alien.
  8. Provide your primary and secondary telephone numbers in their respective fields.
  9. Enter your email address in the designated section.
  10. Respond to the questions regarding your residency in specific boroughs and whether you own a lottery-selling store. Provide details if necessary.
  11. If applicable, answer questions related to your employment or relations with a lottery retailer/sales agent.
  12. Confirm if you are 18 years of age or older by checking yes or no.
  13. Sign the form indicating the provided information is true and accurate, along with the date.
  14. After completing all fields and verifying accuracy, save changes, download, print, or share the form as needed.

Complete your NY Lottery Winner Claim Form online today to claim your prize!

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