Follow the steps to successfully complete the KS Lottery Winner Claim Form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by printing legibly in the designated fields. Enter your last name and first name as they appear on your identification documents.
3. Provide your residential address, including city, state, and zip code. If your mailing address differs from your residential address, be sure to include the correct mailing address along with the corresponding city, state, and zip code.
4. Fill in your Social Security Number or Individual Taxpayer Identification Number (SSN/ITIN) to identify yourself for tax purposes.
5. Indicate your gender by selecting either Male or Female. This section is optional and can be left blank if preferred.
6. Enter your date of birth, ensuring that you format it correctly to avoid any mismatches.
7. Provide a contact phone number where you can be reached for any follow-up regarding your claim.
8. Confirm your U.S. citizenship status by selecting Yes or No. This information is necessary for compliance with regulations.
9. Detail the amount of your prize in the designated field along with the ticket number corresponding to the winning ticket.
10. Read through the declarations and affirm that all information provided is accurate and truthful by signing and dating the form as required.
11. Complete the W-9 certification section by confirming that the Social Security Number shown is correct and that you are not subject to backup withholding, followed by signing and dating.
12. Once finished, review the entire form for completeness and accuracy. After confirming everything is correct, save your changes.
13. Download or print the completed KS Lottery Winner Claim Form, ensuring you include the winning ticket.
14. Finally, bring or mail the ticket and completed claim form to Kansas Lottery Claims at the address provided.

Complete your paperwork online today to ensure a smooth and successful claim process for your lottery winnings.