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Va Lottery Claim Form - Fill and Sign Printable Template 2026
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- Click ‘Get Form’ to open the Va Lottery Claim Form in our editor.
- Begin by filling out your personal information in the 'Prizewinner Information' section. Enter your name, address, city, state, zip code, phone number, and social security number as required.
- Provide your date of birth and confirm your U.S. citizenship status by selecting 'Yes' or 'No'.
- Indicate the prize amount you are claiming and answer questions regarding any affiliations with lottery retailers.
- Review the certification statement at the bottom of the form. Ensure all information is accurate before signing and dating the form.
- Once completed, save your document. You can print it directly from our platform or download it for mailing to the Virginia Lottery at P.O. Box 1254, Richmond, VA 23218-1254.
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