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Ny Lottery Prize Claim Form
OF THE TICKET ATTACH WINNING TICKET / VOUCHER HERE VIDEO GAMING VOUCHER INFORMATION BARCODE LOCATED ON THE FRONT OF THE VOUCHER Allow approximately 15 working days for processing. You must be 18 years or older to purchase a Lottery ticket. CLAIMANT INFORMATION Last Name CFW First Name Initial Street Address City Area Code Telephone Number State Zip Code Country Social Security Number Required CIRCLE YES OR NO FOR EACH QUESTION email address Are you a New York City resident Y N Are you a Yonkers...
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