Wisconsin Lottery Claim Form

Wisconsin Lottery Claim Form Fill Out and Sign Printable PDF Template

Wisconsin Lottery Claim Form. Fill out the “individual claimant information” on lines 1 thru 15 below. Game touch 20 (gt20) vending quick reference.

Wisconsin Lottery Claim Form Fill Out and Sign Printable PDF Template
Wisconsin Lottery Claim Form Fill Out and Sign Printable PDF Template

Web complete one federal form 5754, statement by person(s) receiving gambling winnings, for the group of claimants, and a claim form for each individual claimant in the group. Present all completed documents (court order, form 5754, and individual claim forms) at a lottery validation center or mail them to the address below. Web prizes up to $599 may be claimed at a wisconsin lottery retailer. Retain a personal copy of both sides of the ticket and claim form. Fill out the “individual claimant information” on lines 1 thru 15 below. Prizes $600 and over must be claimed at a lottery office or by mail. Using certified or registered mail is suggested. Web winner claim form lottery use only wisconsin lottery www.wilottery.com fill out and sign the back of your winning ticket using an ink pen. Instructions to claimant you must sign the ticket(s) and claim form in black or blue ink. Retailer name and address change form.

Game touch 20 (gt20) vending quick reference. Instructions to claimant you must sign the ticket(s) and claim form in black or blue ink. Present all completed documents (court order, form 5754, and individual claim forms) at a lottery validation center or mail them to the address below. Lotto ticket adjustment request form. Prizes $200,000 and over must be claimed at the madison validation office. You can have only one primary residence. Tickets winning $200,000 or more must be claimed in person at the madison ofice. Web wisconsin lottery claim form 2017. Retailer name and address change form. Game touch 20 (gt20) vending quick reference. Web complete one federal form 5754, statement by person(s) receiving gambling winnings, for the group of claimants, and a claim form for each individual claimant in the group.