prize claim form - nsw lotteries · prize claim form thelott.com by ... lucky lotteries and spot 9...
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HOW TOCLAIM YOUR
PRIZECONGRATULATIONS ON BEING A
SA LOTTERIES WINNER!
PRIZE CLAIM FORM
thelott.com by
Claiming major lottery prizesMajor lottery prizes including; first division prize, Set for Life 1st 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, with the exception of The Pools where prizes are available the Tuesday after 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If you are making a claim on an out of date ticket please complete an Ex Gratia Statutory Declaration which can be downloaded from www.thelott.com/salotteries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 responsiblyGambler’s Help 1800 858 858.
The information in this guide is current at time of printing in December 2017 and this information is subject to the Lotteries (General) Rules available online at thelott.com.
DECEMBER 2017
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
Game (see below)*
Prize Amount (if known)Lottery or Keno or Instant Scratch-Its Ticket Number
Please provide your bank details below for direct deposit of your prize payment:
Financial Institution Name
Branch Address
Account Name
Branch (BSB) No. Account No.
—
2. PAYMENT OF PRIZE CLAIM (please print clearly)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.
By ticking () this box I confirm that I AM NOT AN OWNER OR STAFF MEMBER of an SA Lotteries Agency
NOTE: Owners or staff members of an SA Lotteries Agency MUST refer to Retailers Web for information on claiming a prize.
Complete sections 1, 2, 3 and 4 below and mail to ADMINISTRATION, PO BOX 74, Marleston, SA 5033, Australia.1. CLAIMANT DETAILS (please print clearly)
Postcode
/ /Legal Name in full
Address
Date
Daytime Phone No. Email Address
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IMPORTANT NOTICEPayment made pursuant to the claim, if any, will be made by bank transfer to the name and bank account of the claimant shown. Please contact SA Lotteries to enquire about any additional payment directives relating to multiple claimants. If the claim is rejected the claimant will be notified.
For all enquiries please phone our Contact Centre on 131 868.
Please photocopy this form and your winning lottery, Keno or Instant Scratch-Its ticket/s for your personal records before sending the original ticket/s and form to SA Lotteries.
Collection of personal informationThe personal information collected from you in this document is sought by Tatts Lotteries SA Pty Ltd ABN 41146245007, a member of the Tatts Group Limited. The collection of your name and address is required under the SA Lotteries (General) Rules and will be used to register, verify and pay your prize. We may not be able to process your claim unless you provide this information to us. Your information may be disclosed to third parties including your and our financial institutions, our selling outlets, our contractors (such as IT providers or mail services), our professional advisors, gaming and other regulators, legal enforcement agencies or as required by law. Our Privacy Policy, available at thelott.com, contains further information about how you may access and seek a correction of your personal information, and how you may complain about privacy related matters and how your complaint will be dealt with. For privacy related queries, please contact 131 868 or [email protected].
Draw No. (lotto & Keno only)
3. PRIZE CLAIM FORM DECLARATION – CLAIMANT’S DECLARATION
Ex Gratia Claims
• 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, Keno or
Instant Scratch-Its ticket/s.
• I understand that SA Lotteries maintains the right to disqualify a ticket or decline to pay a prize in the case of fraud or as otherwise outlined under the SA Lotteries (General) Rules.
• Any signature/s on the back of ticket/s should match the signature/s on this prize claim form.
Claimant Signature
I hereby claim payment for any prizes associated with the attached lottery, Keno or Instant Scratch-Its ticket/s and I declare that:
Please include with this Prize Claim Form all ORIGINAL lottery tickets / Instant Scratch-Its / Keno tickets as listed below in an envelope. It is important you include your name, address and signature on the back of ALL lottery, Keno or Instant Scratch-Its tickets. Processing may take up to 10 working days. Registered Post is recommended. Mail to ADMINISTRATION, PO BOX 74, Marleston SA 5033, Australia.
An Ex Gratia Claim is a claim for a prize on a ticket that is out of date or is a winning unregistered ticket that has been lost or destroyed and has been forfeited to the SA Lotteries Commission.
• Out of Date Tickets – If you are making a claim on an out of date ticket please complete this Prize Claim Form along with an Ex Gratia Statutory Declaration available on the SA Lotteries website.
• Lost or Destroyed Tickets – If you are making a claim on an unregistered lost or destroyed ticket please only use the Lost/Damaged Ticket Search form available on the SA Lotteries website.
*Game: XL – X LottoOz – Oz Lotto
MWXL – Monday & Wednesday X LottoPBL – Powerball
KCT – Keno Coin TossK – Keno
S66 – Super 66SPL – The Pools
ISI – Instant Scratch-ItsSFL – Set for Life
SJP – Lucky Lotteries Super JackpotMJP – Lucky Lotteries Mega Jackpot
Easiplay Club Card number (if applicable)
4. LOTTERY TICKET / INSTANT SCRATCH-ITS TICKET / KENO TICKET DETAILS (please print clearly)
DEC
EMBE
R 20
17
/ /Date AuthorisedPayment Details 1st Authoriser 2nd AuthoriserAmount
OFFI
CE U
SE O
NLY
/ /Date Claim Received
Claim Received By Claim Verified By
No. of Lottery Tickets Received No. of Instant Scratch-Its Received Other
/ /Date ProcessedClaim Entered By Processed By
Signature Signature
Claim ID Number
NOTE: Any changes or alterations including whiteout
to bank details must be initialled by the claimant.
PRIZE CLAIM FORM
TOTAL $
HOW TOCLAIM YOUR
PRIZECONGRATULATIONS ON BEING A
SA LOTTERIES WINNER!
PRIZE CLAIM FORM
thelott.com by
Claiming major lottery prizesMajor lottery prizes including; first division prize, Set for Life 1st 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, with the exception of The Pools where prizes are available the Tuesday after 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 responsiblyGambler’s Help 1800 858 858.
The information in this guide is current at time of printing in December 2017 and this information is subject to the Lotteries (General) Rules available online at thelott.com.
DECEMBER 2017
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