The California Scratchers form is a document used by players to claim their lottery prizes of $599 or less at participating retailers. It requires personal information, such as your name and address, as well as details about the winning ticket. To ensure a smooth process, it's essential to complete the form accurately and attach the original ticket.
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Winning a prize through California Scratchers can be an exciting experience, but claiming that prize involves a few important steps. The California Scratchers form is designed to guide you through the process of claiming your winnings, whether they are $599 or less, which can be cashed directly at participating Lottery Retailers. For larger prizes, this form is essential in submitting your claim to the California Lottery. It requires you to provide your personal information, such as your name, address, date of birth, and contact details, ensuring that your claim is properly verified. Additionally, you must attach your original ticket, complete with your signature and legal name, to the form. The ticket number and prize amount must also be clearly indicated. There are specific instructions to follow to ensure your claim is processed smoothly, including signing the form and providing tax-related information. While the form may seem straightforward, it’s crucial to pay attention to the details, as any missing information could delay your prize payment. Understanding these aspects will help you navigate the claiming process with ease and confidence.
Cash all prizes of $599 or less at participating Lottery Retailers
CLAIMANT INFORMATION PLEASE READ ALL INFORMATION AND INSTRUCTIONS BEFORE COMPLETING CLAIM FORM
LAST NAME
FIRST NAME
ADDRESS 1
ADDRESS 2
CITY
COUNTRY
DATE OF BIRTH
-
MONTH
DAY
YEAR
MI
SUFFIX
SSN/TIN
STATE
ZIP CODE
E-MAIL
PHONE
AREA CODE
I am a Lottery Retailer
I am employed by a Lottery Retailer I am related to a Lottery Retailer
Check one (for tax purposes only):
I do not have a Social Security Number
I am not a U.S. Citizen, and I am not a Resident Alien
TICKET INFORMATION
Attach the original ticket to this form with your legal name, signature and address showing. Enter the
information below (Scratchers 13-18 digit ticket number is located on back of ticket; Draw Game 18 digit ticket number is located on front of ticket). Attach another claim form for more than one ticket.
Ticket Number:
Prize Claim: $
I declare, under penalty of perjury under the laws of the State of California, including but not limited to California Penal Code §§ 118 and 72, that I am the rightful owner of the ticket on this form, that I am 18 years of age or older, and that all information provided is true and correct. I understand that any person who, with intent to defraud, falsely makes, alters, forges or counterfeits a Lottery ticket is in violation of state law and could be liable for criminal penalties.
Claimant Signature
Date
(Only one signature, and it must match signature on ticket)
FOR DISTRICT OFFICE USE ONLY
PLAYER I.D. CODE
DIST. OFFICE CODE
DATE RECEIVED
DRAW DATE
INITIALS
FOR HEADQUARTER OFFICE USE ONLY
POST MARK DATE
CODE(S)
REASON
RELEASED
CRN
CSL 1242 (R7/19)
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PRIZE PAYMENT INFORMATION
Failure to provide your original signed ticket with date of birth, legal name, complete address (including apartment or space number, city, state, zip code), email and phone number may delay or prevent the California State Lottery (Lottery) from processing your prize claim. Claims submitted to Lottery Headquarters for processing are paid by check and mailed from the California State Controller's Office. Processing time, once claim is received and verified, is approximately 8 weeks. If you have questions, contact the Lottery at 1-800- LOTTERY (568-8379), Monday through Friday.
Lottery prizes are not subject to California state income tax. The Lottery is required by federal tax law to withhold federal taxes of 24% for U.S. citizens and resident aliens. Non-US citizens will have 30% withheld from all prizes.
Tickets, transactions, purchases, claims and prize payments are subject to federal and state law and California Lottery regulations, policies and procedures. Copies of regulations are available at Lottery District Offices and on our website at www.calottery.com. Tickets failing validation are void.
INSTRUCTIONS
1.Print your legal name, street address, city, state, and zip code on the back of the ticket.
2.Sign your name on the back of the original ticket.
3.Complete the Claimant Information and Ticket Information sections on the first page of thisform.
4.Sign the first page of this form with ink. (ONLY ONE SIGNATURE IS PERMITTED)
5.Staple your original ticket to the front of this form.
KEEP A COPY OF THIS FORM AND A COPY OF THE FRONT AND BACK OF THE TICKET.
Deliver the completed claim form with original ticket to any Lottery District Office. Location and directions can be found at www.calottery.com.
OR, MAIL THIS CLAIM FORM, AT YOUR OWN RISK, WITH THE ORIGINAL TICKET STAPLED ON THE FRONT, TO: California Lottery, 730 North 10th Street, Sacramento, CA 95811-0336
Call 1-800-LOTTERY(568-8379), or visit any Lottery District Office to request a Multiple Ownership Claim form for group players (less than 100) sharing prizes of $1,000,000, or more.
PRIVACY NOTICE
The Information Practices Act of 1977 (Cal. Civ. Code §§1798-1798.78, the Federal Privacy Act (Public Law 93-579), 5 U.S.C. §552a, and Cal. Gov. Code §§11015.5 and 11019.9, require that this notice be provided when collecting personal information from individuals.
The Claimant Information requested on this form will be used to validate and process your claim in accordance with the California State Lottery Act of 1984 (Gov. Code §8880 et seq.). The Lottery requests a player's social security or
tax identification number (SSN/TIN) for tax withholding and reporting purposes, pursuant to Internal Revenue Code
§§6011, 6041, 6109, 3402, and the regulations enacted thereunder.
The Claimant Information you provide may be disclosed to various state and federal government agencies, including but not limited to: the State Controller's Office, Franchise Tax Board, Health and Welfare Agency, and the Internal Revenue Service. It will not be disclosed to members of the public.
You have the right to access your personal information maintained by the Lottery by contacting the California Lottery, 700 North 10th Street, Sacramento, CA 95811-0336 - Attention: Privacy Coordinator, Information Security Office - Security and Law Enforcement Division. The Privacy Coordinator can also be reached at 916-822-8800 or [email protected].
Purpose and Relevancy of Information Collected: Information is collected to validate and process a claim and for purposes of sales, marketing, research, security investigation, legal review, surveys, and strategic planning as related to the operations of the Lottery. By submitting this claim, you consent and agree to such use, and waive any and all legal claims, known or unknown, related to the specified uses set forth herein. The California Lottery is subject to public disclosure laws that allow access to certain governmental records. Your full name, the name and location of the retailer who sold you the winning ticket, the date you won, and the amount of your winnings, including your gross and net installment payments, are matters of public record and are subject to disclosure. The Lottery will not disclose any other personal or identifying information without your permission unless legally required to do so. No information will be collected or accepted from known minors. You may be asked to participate in a press conference.
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VOLUNTARY DEMOGRAPHIC INFORMATION
By volunteering to answer the following questions, you will help the Lottery know more about its players. The voluntary information that you provide regarding your ethnicity, household income, gender, and household composition will be used only by the Lottery to conduct internal demographic analyses (which may be completed by agents and contractors).
Which of the following do you consider yourself to be?
(Check all that apply)
African American
Asian
Hispanic
White
Other (Specify)
Annual Household Income
Under $30,000
$30,000 TO $49,999 $50,000 TO $99,999
$100,000 TO $149,999
$150,000 or more
Number of People in Household
(including yourself):
Gender
Female
Male
Nonbinary
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Filling out the California Scratchers form is a straightforward process that requires attention to detail. Completing this form accurately ensures that your prize claim is processed without unnecessary delays. Below are the steps to follow when filling out the form.
If you have questions, contact the Lottery at 1-800-LOTTERY (568-8379), Monday through Friday. For group players sharing prizes of $1,000,000 or more, request a Multiple Ownership Claim form from any Lottery District Office.
The California Scratchers form is used to claim prizes from winning lottery tickets. If you have a ticket with a prize of $599 or less, you can cash it at participating Lottery Retailers. For prizes over $599, you must complete this form and submit it along with the original ticket to the California Lottery.
To complete the form, follow these steps:
Keep a copy of the form and the ticket for your records. Submit the completed form and ticket to a Lottery District Office or mail it to the address provided on the form.
Once your claim is submitted, it will be processed by the California Lottery. If everything is in order, you can expect to receive your prize by check within approximately eight weeks. Ensure that all information is accurate to avoid delays.
In California, lottery prizes are not subject to state income tax. However, federal taxes do apply. U.S. citizens and resident aliens will have 24% withheld from their winnings, while non-U.S. citizens will have 30% withheld. It's important to keep this in mind when claiming your prize.
Incomplete Personal Information: Failing to provide all required personal details, such as your legal name, address, and date of birth, can lead to delays in processing your claim. Ensure every field is filled out accurately.
Missing Signature: Omitting your signature on the claim form is a common mistake. Remember, only one signature is allowed, and it must match the signature on the ticket.
Incorrect Ticket Attachment: Not attaching the original ticket to the claim form can result in immediate rejection. Always staple the ticket to the front of the form before submission.
Ignoring Submission Guidelines: Failing to follow the submission instructions, such as mailing the claim form to the correct address or delivering it to a Lottery District Office, can cause unnecessary complications. Double-check the guidelines before sending your claim.
The California Scratchers form is essential for claiming lottery prizes, but it often works in conjunction with other documents that help facilitate the process. Each of these forms serves a specific purpose, ensuring that all necessary information is collected and verified. Below is a list of commonly used forms and documents related to the California Scratchers form.
Understanding these additional forms can help streamline the process of claiming lottery winnings. Being prepared with the necessary documentation not only aids in a smoother experience but also ensures compliance with all legal requirements. If you have any questions about these forms or the claiming process, it is advisable to reach out to the California Lottery for assistance.
The California Scratchers form shares similarities with the IRS Form W-2, which is used for reporting wages and tax withholding. Both documents require personal information such as name, address, and social security number. Just as the Scratchers form verifies the identity of the claimant for prize distribution, the W-2 confirms the employment and income of an individual for tax purposes. Each form serves a critical function in the validation process, ensuring that the correct individual receives the appropriate benefits or payments.
Another comparable document is the IRS Form 1099, which reports various types of income other than wages. Like the Scratchers form, the 1099 requires the recipient's taxpayer identification information. Both forms are essential for tax reporting, as they help ensure that income is properly documented and taxed. The 1099 form, much like the Scratchers form, emphasizes the importance of accurate information to avoid potential legal issues or delays in processing.
The California Lottery's Claim for Prize form also bears resemblance to the state’s DMV Application for Title or Registration. Both documents require detailed personal information, including the applicant's name and address. They also necessitate the submission of original documents—like a winning ticket for the Scratchers form or a bill of sale for the DMV application. Each form aims to confirm ownership and facilitate the transfer of benefits, whether they be monetary prizes or vehicle titles.
Lastly, the California Department of Social Services (CDSS) uses the CalFresh Application for Benefits, which is similar in its information-gathering approach. Both the Scratchers form and the CalFresh application require personal details, including income and household composition. They are designed to determine eligibility for benefits, ensuring that applicants meet the necessary criteria. In both cases, accuracy is paramount to prevent delays or denials in receiving the intended support.
When filling out the California Scratchers form, it is essential to follow specific guidelines to ensure your claim is processed smoothly. Below is a list of things you should and shouldn't do.
By adhering to these guidelines, you can help facilitate the processing of your prize claim with the California Lottery.
Understanding the California Scratchers form is crucial for anyone wishing to claim their lottery winnings. However, several misconceptions exist that can lead to confusion. Below is a list of eight common misconceptions along with clarifications.
Being aware of these misconceptions can help ensure a smoother experience when claiming lottery winnings. It is advisable to read all instructions carefully and seek assistance if needed.
Filling out and using the California Scratchers form requires attention to detail and adherence to specific guidelines. Here are key takeaways to ensure a smooth process:
By following these guidelines, you can ensure that your claim is processed efficiently and without unnecessary delays.