PRIZE CLAIM FORM
PRIZE CLAIM
CONDITIONS
CONGRATULATIONS
ON BEING A WINNER!
This form is required by all winners claiming
a prize that cannot be paid at a NSW Lotteries
Outlet. All prizes up to $1,000 can be claimed at
any NSW Lotteries Outlet.
To claim your lottery or Instant Scratch-Its
prize, complete the following steps:
1. Complete the Prize Claim Form
FF Section 1: Fill in your personal details.
FF Section 2: Nominate your preferred method of
prize payment.
Claiming major lottery prizes (first division,
Lucky Lotteries jackpot or Lucky Lotteries first
prize)
Major lottery prizes are available for payment from
the first business day two weeks following the draw.
Claiming other division lottery prizes
Lower division prizes are available the first business
day following the draw, with the exception of The
Pools which is available the Tuesday after the draw.
For more information or enquiries
please contact NSW Lotteries
Address�� 1 Figtree Drive,
Sydney Olympic Park, NSW 2127
Office Opening Hours�� 8:30am – 4:30pm, Monday to Friday
FF Section 3: Sign the Claimant Declaration.
Phone�� 131 868 during business hours
FF Section 4: Provide details of lottery / Instant
Scratch-Its ticket/s.
FF Keep a photocopy of the Prize Claim Form for
your records.
Phone Business Hours�� 8am – 5pm, Monday to Saturday
8am – 2pm, Sunday
2. Sign all ORIGINAL winning lottery or
Instant Scratch-Its ticket/s
FF Write your name, address and signature on the
back of the ORIGINAL winning lottery / Instant
Scratch-Its ticket/s.
FF Take photocopies of your winning ticket/s for
your own records.
Email��[email protected]
NSW LOTTERIES OFFICE USE ONLY
CORPORATE INFORMATION
RECORDS MANAGEMENT
Date received
3. Submit Prize Claim Form in person or
by post.
FF In person – Visit 1 Figtree Drive, Sydney
Olympic Park NSW 2127, during office hours.
FF By post – NSW Lotteries recommends using
Registered Post for added security. Mail Prize
Claim Form and original winning ticket/s to:
• Administration
PO Box 6687
Silverwater NSW 2128
HOW TO
CLAIM YOUR
P RIZE
Congratulations on being a
NSW Lotteries winner!
The information in this guide was current at time of printing in September
2013 and this information is subject to the Game Rules Lotto available online at
www.nswlotteries.com.au or at any NSW Lotteries Outlet. ® New South Wales Lotteries
Corporation Pty Limited (ACN 142 890 195/ ABN 27 410 374 474) and/or its related bodies
corporate is the owner of registered trademarks “Instant Scratch-Its”, “NSW Lotteries”,
NSW Lotteries logo, Lotto Strike logo, “Powerball” and is a joint owner of registered
trademarks “The Pools”, and “Oz Lotto”.
SEPTEMBER 2013
nswlotteries.com.au
Think! About your choices
Call Gambling Help 1800 858 858 www.gamblinghelp.nsw.gov.au
OFFICE USE ONLY
Email Address
(please print clearly)
Postcode
Date
/
I confirm that I am not
an owner or staff
member of a NSW
Lotteries Outlet
/
NOTE: Owners or staff members
of a NSW Lotteries Outlet must
refer to the Retailer Website for
information on claiming a prize.
For all enquiries, please phone our
National Lotteries Contact Centre on
131 868.
Payment made pursuant to the
claim, if any, cannot be split and will
be made by only one cheque or a
bank transfer to the name and
address or bank account shown, or
in the case of a registered ticket, to
the name and address contained in
the Players Club card database. If the
claim is rejected, the claimant will be
notified.
IMPORTANT NOTICE
Please indicate your answers by marking the
check boxes with a .
—
Account No.
Account Name
(go to Q3), or BANK TRANSFER?
NFP (
if NOT FOR PUBLICATION)
SL – Saturday Lotto
Oz – Oz Lotto
Draw No.
MWL – Monday & Wednesday Lotto
PBL – Powerball
ISI – Instant Scratch-Its
2JP – $2 Lucky Lotteries
Lottery Ticket Number
5JP – $5 Lucky Lotteries
SPL – The Pools
LS – Lotto Strike
TOTAL $
Prize Amount
(if known)
Cheque No.
Payment Method:
EFT
Amount
TIL
Processed By
Claim Entered By
No. of Lottery Tickets Received
Signature
/
Claim Received By
/
Date Claim received
Cheque –
/
Payment Authorised By
provide details below
/
Date Processed
Claim Verified By
No. of Instant Scratch-Its Received
Other
Signature
/
Date Authorised
/
Claim ID Number
SEPTEMBER 2013
The personal information sought in this document is sought by NSW Lotteries (ABN 27 410 374 474). The information sought is used by NSW Lotteries to register, verify and pay your lottery prize. The claim may not be able
to be processed unless the claimant’s name, address and details of the win are provided. The information collected via this claim form may be disclosed to our bank, or as required by law. Subject to certain legal qualifications,
you are entitled to have access to your personal information. Access can be obtained by calling our National Lotteries Contact Centre on 131 868. Further privacy policy details are available at www.nswlotteries.com.au
Collection of personal information
*Game:
Game
(see below)*
Please include with this Prize Claim Form all original lottery tickets / Instant Scratch-Its tickets as listed below in an envelope. If making a claim on an
Instant Scratch-Its, it is important you include your name, address and signature on the back of the ticket. Processing may take up to 10 working days.
Registered Post is recommended. Mail to ADMINISTRATION, PO BOX 6687, Silverwater NSW 2128, Australia.
(please print clearly)
Claimant Signature
I understand that:
•
it is an offence under the Public Lotteries Act 1996 to make a false or
misleading claim.
4. Lottery Ticket / Instant Scratch-Its Ticket Details
I declare that:
•
to the best of my knowledge and belief all of the information in this claim
is true and correct;
•
I am over the age of 18 years; and
•
I am the rightful owner of the attached lottery or Instant Scratch-Its ticket/s.
•
I hereby claim payment for any prizes associated with the attached lottery
or Instant Scratch-Its ticket/s; and
NOTE: Any changes or
alterations including whiteout
to bank details must be
initialled by the claimant.
Complete bank details below
3. Prize Claim Form Declaration – Claimant’s Declaration
Branch (BSB) No.
Branch Address
Financial Institution Name
Would you like the prize claim to be paid by CHEQUE
Inaccurate or incomplete bank account details may lead to the payment being delayed or rejected by your financial institution. In the event that
the funds transfer is rejected, a cheque may be issued in lieu.
2. Preferred Payment of Prize Claim (tick one box only)
Players Club
Card number
(if applicable)
Daytime Phone No.
Address
Claimant Name/s
1. Claimant Details
ADMINISTRATION, PO BOX 6687, Silverwater, NSW 2128, Australia.
Complete sections 1, 2, 3 & 4 below and mail to
PRIZE CLAIM FORM
Please save a copy of this form and your winning
lottery or Instant Scratch-Its ticket/s for your
personal records before sending the original
ticket/s and form to NSW Lotteries.
Send completed Prize Claim Form to NSW Lotteries. Include ONLY original lottery ticket/s / Instant Scratch-Its ticket/s.
PRIZE CLAIM FORM
PRIZE CLAIM
CONDITIONS
CONGRATULATIONS
ON BEING A WINNER!
This form is required by all winners claiming
a prize that cannot be paid at a NSW Lotteries
Outlet. All prizes up to $1,000 can be claimed at
any NSW Lotteries Outlet.
To claim your lottery or Instant Scratch-Its
prize, complete the following steps:
1. Complete the Prize Claim Form
FF Section 1: Fill in your personal details.
FF Section 2: Nominate your preferred method of
prize payment.
Claiming major lottery prizes (first division,
Lucky Lotteries jackpot or Lucky Lotteries first
prize)
Major lottery prizes are available for payment from
the first business day two weeks following the draw.
Claiming other division lottery prizes
Lower division prizes are available the first business
day following the draw, with the exception of The
Pools which is available the Tuesday after the draw.
For more information or enquiries
please contact NSW Lotteries
Address�� 1 Figtree Drive,
Sydney Olympic Park, NSW 2127
Office Opening Hours�� 8:30am – 4:30pm, Monday to Friday
FF Section 3: Sign the Claimant Declaration.
Phone�� 131 868 during business hours
FF Section 4: Provide details of lottery / Instant
Scratch-Its ticket/s.
FF Keep a photocopy of the Prize Claim Form for
your records.
Phone Business Hours�� 8am – 5pm, Monday to Saturday
8am – 2pm, Sunday
2. Sign all ORIGINAL winning lottery or
Instant Scratch-Its ticket/s
FF Write your name, address and signature on the
back of the ORIGINAL winning lottery / Instant
Scratch-Its ticket/s.
FF Take photocopies of your winning ticket/s for
your own records.
Email��[email protected]
NSW LOTTERIES OFFICE USE ONLY
CORPORATE INFORMATION
RECORDS MANAGEMENT
Date received
3. Submit Prize Claim Form in person or
by post.
FF In person – Visit 1 Figtree Drive, Sydney
Olympic Park NSW 2127, during office hours.
FF By post – NSW Lotteries recommends using
Registered Post for added security. Mail Prize
Claim Form and original winning ticket/s to:
• Administration
PO Box 6687
Silverwater NSW 2128
HOW TO
CLAIM YOUR
P RIZE
Congratulations on being a
NSW Lotteries winner!
The information in this guide was current at time of printing in September
2013 and this information is subject to the Game Rules Lotto available online at
www.nswlotteries.com.au or at any NSW Lotteries Outlet. ® New South Wales Lotteries
Corporation Pty Limited (ACN 142 890 195/ ABN 27 410 374 474) and/or its related bodies
corporate is the owner of registered trademarks “Instant Scratch-Its”, “NSW Lotteries”,
NSW Lotteries logo, Lotto Strike logo, “Powerball” and is a joint owner of registered
trademarks “The Pools”, and “Oz Lotto”.
SEPTEMBER 2013
nswlotteries.com.au
Think! About your choices
Call Gambling Help 1800 858 858 www.gamblinghelp.nsw.gov.au