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Get Mt Lottery Winner Claim Form 2019-2025

Include your ORIGINAL winning Print your name, address and phone number on the back of your ticket(s). YOU MUST SIGN EACH WINNING TICKET. Complete the shaded section below in its entirety. A signature and date is required by law. Forms not correctly filled out will be returned to the winner, which will delay receipt of Lottery winnings ORIGINAL winning ticket with this claim form. Winners receiving prizes of $600 or more must submit a clear photocopy of their driver s license or another va.

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