The California Scratchers form is a document used by players to claim prizes from winning lottery tickets valued at $599 or less. This form requires detailed personal information and the original ticket to process the claim efficiently. For those ready to claim their winnings, fill out the form by clicking the button below.
The California Scratchers form is an essential document for anyone wishing to claim their lottery winnings from Scratchers tickets. This form outlines the necessary steps and information required to facilitate the claim process effectively. Claimants must provide their personal details, including their legal name, address, and date of birth, ensuring that they meet the age requirement of 18 years or older. Additionally, the form requires the original ticket to be attached, along with a declaration affirming the claimant's ownership of the ticket and the accuracy of the provided information. For tax purposes, claimants must indicate their Social Security Number or Tax Identification Number, as well as their citizenship status. The form also details the prize payment process, emphasizing the importance of accurate information to avoid delays. It is crucial to remember that while lottery prizes are not subject to California state income tax, federal taxes will be withheld based on the claimant's citizenship status. For those claiming larger prizes or submitting multiple tickets, specific instructions and additional forms are available. Understanding these components will help ensure a smooth and successful claim experience.
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
Date of Birth
Month
-
Day
Year
First Name
Address 1
MI
Suffix
SSN/TIN
Address 2
City
Country
State
Email
Zip Code
Phone
Area Code
For tax purposes only:
I am a Lottery Retailer
I am employed by a Lottery Retailer
I am related to a Lottery Retailer
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 13-19 digit ticket number is located on back of ticket; Draw Game 19 digit ticket number is located on front of ticket). Attach a separate claim form for each ticket submission.
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 todefraud, 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 (R10/22)
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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. 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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To complete the California Scratchers form, follow these steps carefully. Make sure you have your winning ticket ready, as you'll need to attach it to the form. Once you fill out the form, you can either deliver it to a Lottery District Office or mail it to the specified address.
The California Scratchers form is used to claim prizes from winning Scratchers lottery tickets. It is essential for verifying your identity and ensuring that you are the rightful owner of the ticket before any prize can be awarded.
In the Claimant Information section, you need to provide your last name, first name, address, city, state, zip code, date of birth, and contact information such as email and phone number. Ensure that all details are accurate to avoid delays in processing your claim.
If you have more than one ticket, you will need to attach a separate claim form for each ticket. Make sure to fill out each form completely and include the original ticket with your legal name and signature on the back.
Yes, you can cash prizes of $599 or less at participating Lottery Retailers. For larger prizes, you will need to complete the claim form and submit it to the California Lottery.
Failing to provide your original signed ticket may delay or prevent the processing of your prize claim. It is crucial to include the ticket with your claim form, ensuring all required information is present.
Once your claim is received and verified, the processing time is approximately 8 weeks. It's important to be patient during this period, as the Lottery needs time to ensure everything is in order.
In California, lottery prizes are not subject to state income tax. However, federal taxes will be withheld at a rate of 24% for U.S. citizens and resident aliens, while non-U.S. citizens will have 30% withheld from their prizes.
Unfortunately, if you lose your winning ticket, it cannot be replaced or claimed without it. Lottery tickets are considered bearer instruments, meaning that whoever holds the ticket is deemed the owner. Always keep your ticket in a safe place.
Yes, you can mail your completed claim form along with the original ticket. Ensure that the ticket is stapled to the front of the form and send it to the specified address. However, this method is at your own risk, so consider using a secure mailing option.
The form collects personal information such as your name, address, and Social Security Number for tax reporting purposes. This information is used to validate and process your claim, and it may be shared with various state and federal agencies as required by law.
Incomplete Personal Information: Failing to provide complete details such as last name, first name, or address can lead to delays. Ensure all fields are filled out accurately.
Missing Signature: Not signing the claim form can result in rejection. Always sign the form in ink, matching the signature on the ticket.
Incorrect Ticket Number: Entering an incorrect ticket number can cause confusion. Double-check the number on the ticket before submitting.
Not Attaching the Original Ticket: Forgetting to staple the original ticket to the claim form is a common mistake. Always attach the ticket securely.
Ignoring Submission Instructions: Not following the instructions for submission can lead to processing issues. Review the guidelines carefully before sending your claim.
Failure to Keep Copies: Not making copies of the claim form and ticket can be problematic. Always keep copies for your records in case of any issues.
When submitting a claim for California Scratchers, several other forms and documents may be necessary to ensure a smooth process. Each of these documents serves a specific purpose and can help facilitate your claim. Below is a list of commonly used forms and documents.
Completing the necessary forms accurately and submitting them along with your California Scratchers claim can help avoid delays. Make sure to keep copies of all submitted documents for your records. If you have any questions about the process, do not hesitate to reach out for assistance.
The California Scratchers form shares similarities with the IRS Form W-2, which is used to report wages paid to employees and the taxes withheld from them. Both documents require personal information such as name, address, and Social Security Number. The W-2 form also necessitates the employee's signature, confirming the accuracy of the information, much like the declaration made on the Scratchers form regarding the ownership of the lottery ticket. Both forms are crucial for tax purposes and must be submitted to relevant authorities for processing.
Another document that resembles the California Scratchers form is the IRS Form 1099-MISC, which is used to report miscellaneous income. Just as the Scratchers form collects claimant information for prize payments, the 1099-MISC gathers information about individuals who receive income outside of traditional employment. Both forms require the recipient's name, address, and tax identification number, ensuring that the income reported is accurately attributed for tax purposes.
The California Lottery Claim form is also similar to a standard insurance claim form. Both documents require detailed personal information and specifics about the claim being made. Claimants must provide evidence of their entitlement, whether it be a winning ticket or an insured loss. In both cases, the accuracy of the information is paramount, as it can affect the outcome of the claim and any subsequent payments.
Additionally, the California Scratchers form is akin to a bank deposit slip. Both documents require the depositor's personal information and details about the amount being claimed or deposited. Just as a deposit slip must be accurate to ensure that funds are correctly credited, the Scratchers form must be filled out correctly to facilitate the processing of lottery winnings.
The form is also comparable to a medical claim form, which is used to request payment for medical services. Both forms require the claimant's personal details and a declaration of the claim being made. In each case, accurate information is necessary to ensure that the claim is processed efficiently and that the claimant receives the appropriate compensation.
Lastly, the California Scratchers form resembles a tax return form, such as the IRS Form 1040. Both documents collect personal information and require the claimant to certify the accuracy of the information provided. They serve as official records that can be reviewed by governmental agencies, and both involve compliance with tax laws and regulations. Accurate completion is vital to avoid delays in processing and potential legal issues.
When filling out the California Scratchers form, there are important dos and don'ts to keep in mind. Follow these guidelines to ensure your claim is processed smoothly.
By adhering to these guidelines, you can help prevent delays in processing your claim. If questions arise, consider reaching out to the California Lottery for assistance.
Here are some common misconceptions about the California Scratchers form:
The following are key takeaways regarding the California Scratchers form:
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