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How to use or fill out va lottery claim form with DocHub
- Click ‘Get Form’ to open the Virginia Lottery Claim Form in our editor.
- Begin by filling out your personal information in the 'Winner Information' section. Include your last name, first name, middle initial, address, city, state, zip code, and phone number.
- Provide your social security number and confirm your U.S. citizenship status by circling 'yes' or 'no'.
- Enter your date of birth and the prize amount you are claiming. Additionally, indicate if you are employed by a lottery retail location or related to its owner.
- Review the certification statement carefully. Sign and date the form at the bottom to validate your claim.
- Enclose any winning tickets in a separate envelope and attach it to this form before mailing it to the Virginia Lottery or bringing it to a customer service center.
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