Kentucky Lottery Prize Claim Form

December 18, 2024

mail to: claims department 1011 w main street louisville, ky 40202 winner claim form instructions to claimant • only ticket owners may claim prize! you must sign your name on the ticket. • complete items 1 through 10 below. • you must sign your name on the claim form. • staple ticket to top copy. do not staple

https://assets.lotteryusa.com/claim-forms/kentucky-lottery-prize-claim-form.pdf

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