Wisconsin Lottery Claim Form

Wisconsin Lottery Claim Form Fill Out and Sign Printable PDF Template

Wisconsin Lottery Claim Form. Web prizes up to $599 may be claimed at a wisconsin lottery retailer. Prizes $200,000+ in person madison lottery office please call the lottery prior to your visit:

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

Game touch 20 (gt20) vending quick reference. Retain a personal copy of both sides of the ticket and claim form. Prizes $600 and over must be claimed at a lottery office or by mail. Instant ticket tracking form (24 games) personal data form. Web send the signed ticket and a completed claim form ( spanish | hmong) to the above address. Retailer name and address change form. Prizes $200,000+ in person madison lottery office please call the lottery prior to your visit: 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. Fill out the “individual claimant information” on lines 1 thru 15 below. Prizes $200,000 and over must be claimed at the madison validation office.

Tickets winning $200,000 or more must be claimed in person at the madison ofice. Prizes $200,000+ in person madison lottery office please call the lottery prior to your visit: You can have only one primary residence. Using certified or registered mail is suggested. 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. We are not affiliated with any brand or entity on this form. Lotto ticket adjustment request form. Retailer name and address change form. Prizes $200,000 and over must be claimed at the madison validation office.