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WINNER CLAIM FORM

WINNER CLAIM FORM

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Put both the Prize Claim Form and your signed original winning ticket in an envelope Mail it to the Lottery at the address below Oregon Lottery PO Box

NOTE: This form requires two signatures NOTE: All Lottery prizes of $100,000 must be claimed in person at a Lottery office Due to the claim process involved, So you've won Now what?! Here's how you can claim your prize! Visit

secret to winning the lottery So you've won Now what?! Here's how you can claim your prize! Visit claim form to any Missouri Lottery office A B C In addition to the claim form, it is your responsibility to complete IRS Form W-9

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