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PRIZE CLAIM FORM - the Lott€¦ · To claim your lottery, Keno or Instant Scratch-Its prize,...

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H O W T O C L A I M Y O U R P R I Z E CONGRATULATIONS ON BEING A SA LOTTERIES WINNER! PRIZE CLAIM FORM by Claiming major lottery prizes Major lottery prizes including; first division prize, first prize and jackpot prize for Lucky Lotteries and Spot 9 and Spot 10 top prizes for Keno, are available for payment from the first business day two weeks following the draw. Claiming other division lottery prizes Lower divisional prizes are available the first business day following the draw. Prizes outside 12 month claim period Any prize won on a ticket that is older than 12 months will have been forfeited to the South Australian Lotteries Commission. If you are making a claim on an out of date ticket please complete an Ex Gratia Statutory Declaration which can be downloaded from www.thelott.com/salotteries Tickets outside the 12 month period are not payable under the Lotteries Act, however SA Lotteries have a special discretion to pay, and there are associated administration costs enabling us to process these payments. PRIZE CLAIM CONDITIONS For more information or enquiries please contact SA Lotteries Address �����������������������������188 Richmond Road, Marleston, SA 5033 Office Opening Hours ����8:30am – 4:30pm, Monday to Friday Phone �������������������������������131 868 during business hours Phone Business Hours ���� 8am – 5pm, Monday to Saturday 8am – 2pm, Sunday Email ���������������������������������� [email protected] Gamble Responsibly 1800 858 858. The information in this guide is current at time of printing in March 2020 and this information is subject to the Lotteries (General) Rules available online at thelott.com. MARCH 2020 This form is required by all winners claiming a prize that cannot be paid at an SA Lotteries Outlet. Some Retailers may pay prizes higher than $500 at their discretion (an Outlet’s payout limit is authorised by SA Lotteries). Prizes over $5,000 are processed at SA Lotteries Head Office upon submission of a Prize Claim Form in person or by post. CONGRATULATIONS ON BEING A WINNER! To claim your lottery, Keno or Instant Scratch-Its prize, complete the following steps: 1. Complete the Prize Claim Form F Section 1: Fill in your personal details. F Section 2: Fill in your bank details. F Section 3: Sign the Claimant Declaration. F Section 4: Provide details of lottery, Keno or Instant Scratch-Its ticket/s. F Take a photocopy of the Prize Claim Form for your records. 2. Sign ORIGINAL winning lottery, Instant Scratch-Its or Keno ticket/s F Write your name, address and signature on the back of the ORIGINAL winning lottery, Keno or Instant Scratch-Its tickets. F Take a photocopy of your winning ticket/s for your records. 3. Submit Prize Claim Form in person or by post. F In person – Visit 188 Richmond Road, Marleston, SA 5033, during office hours. F By post – SA Lotteries recommends using Registered Post for added security. Mail Prize Claim Form and original winning ticket/s to: • Administration PO Box 74 Marleston, SA 5033
Transcript
Page 1: PRIZE CLAIM FORM - the Lott€¦ · To claim your lottery, Keno or Instant Scratch-Its prize, complete the following steps: 1. Complete the Prize Claim Form F Section 1: Fill in your

HOW TOCLAIM YOUR

PRIZECONGRATULATIONS ON BEING A

SA LOTTERIES WINNER!

PRIZE CLAIM FORM

by

Claiming major lottery prizesMajor lottery prizes including; first division prize, first prize and jackpot prize for Lucky Lotteries and Spot 9 and Spot 10 top prizes for Keno, are available for payment from the first business day two weeks following the draw.

Claiming other division lottery prizesLower divisional prizes are available the first business day following the draw.

Prizes outside 12 month claim periodAny prize won on a ticket that is older than 12 months will have been forfeited to the South Australian Lotteries Commission.

If you are making a claim on an out of date ticket please complete an Ex Gratia Statutory Declaration which can be downloaded from www.thelott.com/salotteries

Tickets outside the 12 month period are not payable under the Lotteries Act, however SA Lotteries have a special discretion to pay, and there are associated administration costs enabling us to process these payments.

PRIZE CLAIM CONDITIONS

For more information or enquiries please contact SA Lotteries

Address �����������������������������188 Richmond Road, Marleston, SA 5033

Office Opening Hours ����8:30am – 4:30pm, Monday to Friday

Phone �������������������������������131 868 during business hours

Phone Business Hours ����8am – 5pm, Monday to Saturday 8am – 2pm, Sunday

Email ���������������������������������� [email protected]

Gamble Responsibly 1800 858 858.

The information in this guide is current at time of printing in March 2020 and this information is subject to the Lotteries (General) Rules available online at thelott.com.

MARCH 2020

This form is required by all winners claiming a prize that cannot be paid at an SA Lotteries Outlet. Some Retailers may pay prizes higher than $500 at their discretion (an Outlet’s payout limit is authorised by SA Lotteries). Prizes over $5,000 are processed at SA Lotteries Head Office upon submission of a Prize Claim Form in person or by post.

CONGRATULATIONS ON BEING A WINNER!

To claim your lottery, Keno or Instant Scratch-Its prize, complete the following steps:1. Complete the Prize Claim Form

F Section 1: Fill in your personal details.

F Section 2: Fill in your bank details.

F Section 3: Sign the Claimant Declaration.

F Section 4: Provide details of lottery, Keno or Instant Scratch-Its ticket/s.

F Take a photocopy of the Prize Claim Form for your records.

2. Sign ORIGINAL winning lottery, Instant Scratch-Its or Keno ticket/s

F Write your name, address and signature on the back of the ORIGINAL winning lottery, Keno or Instant Scratch-Its tickets.

F Take a photocopy of your winning ticket/s for your records.

3. Submit Prize Claim Form in person or by post.

F In person – Visit 188 Richmond Road, Marleston, SA 5033, during office hours.

F By post – SA Lotteries recommends using Registered Post for added security. Mail Prize Claim Form and original winning ticket/s to:

• Administration PO Box 74 Marleston, SA 5033

Page 2: PRIZE CLAIM FORM - the Lott€¦ · To claim your lottery, Keno or Instant Scratch-Its prize, complete the following steps: 1. Complete the Prize Claim Form F Section 1: Fill in your

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Send completed Prize Claim Form to SA Lotteries. Include ONLY ORIGINAL lottery / Keno / Instant Scratch-Its ticket/s.

IMP

OR

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NT

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rm t

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Th

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ers

on

al in

form

atio

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olle

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rom

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th

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oc

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ug

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by

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will

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nd

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tru

e a

nd

co

rrect

;

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m o

ver

the a

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f 18

year

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nd

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righ

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en

o

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nd

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aud

or

as o

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ise o

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un

der

the S

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ott

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s (G

en

era

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ule

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y si

gn

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on

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t/s

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ch th

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ign

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re/s

on

th

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laim

form

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t S

ign

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re

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by

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im p

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soc

iate

d w

ith

th

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ttac

he

d l

ott

ery

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no

or

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ant

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ratc

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s an

d I

de

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ase

incl

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ll O

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y ti

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/ K

eno

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liste

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elo

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an

en

velo

pe.

It is

imp

ort

ant

you

in

clu

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you

r n

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ad

dre

ss a

nd

sig

nat

ure

on

th

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ack

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LL lo

tter

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eno

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cess

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egis

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st is

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IST

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SA

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stra

lia.

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is a

cla

im f

or

a p

rize

on

a t

icke

t th

at is

ou

t o

f d

ate o

r is

a w

inn

ing

un

reg

iste

red

tic

ket

that

has

been

lost

or

dest

roye

d a

nd

has

been

fo

rfeite

d t

o t

he S

A L

ott

eri

es

Co

mm

issi

on

.

• O

ut

of

Dat

e T

icke

ts –

If

you

are

mak

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laim

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an

ou

t o

f d

ate t

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t p

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om

ple

te t

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Priz

e C

laim

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rm a

lon

g w

ith a

n E

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ratia

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tuto

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ts –

If y

ou

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mak

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a c

laim

on

an

un

reg

iste

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lost

or

dest

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d t

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t p

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nly

use

th

e L

ost

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aged

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ket

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ch f

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on

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IN

ST

AN

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AT

CH

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nat

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nat

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be

r

NO

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ny

ch

ang

es

or

alte

rati

on

s in

clu

din

g w

hit

eo

ut

to b

ank

de

tail

s m

ust

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init

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t.

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gen

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