CRETAIN A PHOTOCOPY of the front and back of your winning ticket and of this completed form for your personal records. Staple the ticket to the top right corner of this form. Mail this form and the winning ticket to: MISSOURI LOTTERY, PO BOX 7777, JEFFERSON CITY, MO 65102-7777, OR hand deliver your ticket and completed claim form to any Missouri Lottery ofice. Last Name
https://assets.lotteryusa.com/claim-forms/missouri-lottery-prize-claim-form.pdf