Second chance claim form 2026

1. Click ‘Get Form’ to open the second chance claim form in our editor.
2. Begin by filling out the Player Information section. Enter your last name, first name, middle initial, and suffix. Ensure your address is complete with apartment number, city, state, and zip code.
3. Provide your email address and birth date in the specified format. Indicate your citizenship status and whether you are a lottery retailer.
4. Fill in your Social Security Number or indicate if you do not have one. Include your daytime phone number and employment status related to a lottery retailer.
5. In the Prize Information section, enter the prize name, drawing name, drawing ID (if applicable), and ticket ID/entry code.
6. Complete the demographic information voluntarily regarding ethnicity, education level, annual household income, number of people in your household, gender, and occupation.
7. Finally, review all information for accuracy before signing and dating the form at the bottom. Keep a copy for your records before mailing it to the California Lottery.

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