New York Lottery Prize Claim Form

October 30, 2025

If you are a U.S. Resident: By signing below, I am stating, under penalties of perjury, that I am the lawful owner of the ticket(s)/voucher(s) identified above and the information I have provided in this claim form is true, correct and complete. I understand that New York Lottery prizes are public funds and that prize winners like me must be publicly announced to maintained public confidence …

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

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