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
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