The information in this guide is current at time of printing in August 2015 and this information is subject to the Game Rules Lotto available online at www.nswlotteries.com.au or at any NSW Lotteries Outlet. ® New South Wales Lotteries Corporation Pty Limited (ACN 142 890 195/ ABN 27 410 374 474) and/or its related bodies corporate is the owner of registered trademarks “Instant Scratch-Its”, “NSW Lotteries”, NSW Lotteries logo, Lotto Strike logo, “Powerball” and is a joint owner of registered trademarks “The Pools” and “Oz Lotto”.
To claim your lottery or Instant Scratch-Its prize, complete the following steps:1. Complete the Prize Claim Form
F Section 1: Fill in your personal details.
F Section 2: Fill in your bank details.
F Section 3: Sign the Claimant Declaration.
F Section 4: Provide details of lottery or Instant Scratch-Its ticket/s.
F Take a photocopy of the Prize Claim Form for your records.
2. Sign ORIGINAL winning lottery or Instant Scratch-Its ticket/s
F Write your name, address and signature on the back of the ORIGINAL winning lottery or Instant Scratch-Its ticket/s.
F Take a photocopy of your winning ticket/s for your own records.
3. Submit Prize Claim Form in person or by post.
F In person – Visit 1 Figtree Drive, Sydney Olympic Park, NSW 2127, during office hours.
F By post – NSW Lotteries recommends using Registered Post for added security. Mail Prize Claim Form and original winning ticket/s to:
CORPORATE INFORMATION RECORDS MANAGEMENT
NSW LOTTERIES OFFICE USE ONLY
Date received
PRIZE CLAIM
This form is required by all winners claiming a prize that cannot be paid at a NSW Lotteries Outlet.
Prizes less than $1,000 may be claimed at any NSW Lotteries Outlet.
CONGRATULATIONS ON BEING A WINNER!
Claiming major lottery prizes (first division, Lucky Lotteries jackpot or Lucky Lotteries first prize)Major lottery prizes are available for payment from the first business day two weeks following the draw.
Claiming other division lottery prizesLower division prizes are available the first business day following the draw, with the exception of The Pools where prizes are available the Tuesday after the draw.
PRIZE CLAIM CONDITIONS
For more information or enquiries please contact NSW Lotteries
Address ......................... 1 Figtree Drive, Sydney Olympic Park, NSW 2127
Office Opening Hours .... 8:30am – 4:30pm, Monday to Friday
Phone ............................. 131 868 during business hours
Phone Business Hours .. 8am – 5pm, Monday to Saturday 8am – 2pm, Sunday
Email ................................customersupport@nswlotteries.com.au
• Administration PO Box 6687 Silverwater, NSW 2128
AUGUST 2015
PRIZE CLAIM FORM
Congratulations on being a NSW Lotteries winner!
nswlotteries.com.auThink! About your choices Call Gambling Help 1800 858 858 www.gamblinghelp.nsw.gov.au
HOW TOCLAIM YOUR
PRIZE
4. L
otte
ry T
icke
t / In
stan
t Scr
atch
-Its
Tic
ket D
etai
ls (p
leas
e pr
int
clea
rly)
3. P
rize
Cla
im F
orm
Dec
lara
tion
– C
laim
ant’
s De
clar
atio
n
Plea
se in
clu
de
wit
h t
his
Pri
ze C
laim
Fo
rm a
ll O
RIG
INA
L lo
tter
y ti
cket
s o
r In
stan
t Sc
ratc
h-I
ts t
icke
ts a
s lis
ted
bel
ow
in a
n e
nve
lop
e. It
is im
po
rtan
t yo
u in
clu
de
you
r n
ame,
ad
dre
ss a
nd
sig
nat
ure
on
th
e b
ack
of
ALL
tic
kets
. Pro
cess
ing
may
tak
e u
p t
o 1
0 w
ork
ing
day
s. M
ail t
o A
DM
INIS
TRA
TIO
N, P
O B
OX
668
7, S
ilver
wat
er
NSW
212
8, A
ust
ralia
. Reg
iste
red
Po
st is
rec
om
men
ded
.
Gam
e (s
ee b
elow
)*Pr
ize
Am
ou
nt
(if k
now
n)
Play
ers
Clu
b
Car
d nu
mbe
r
(if a
pplic
able
)
Fina
ncia
l Ins
titu
tion
Nam
e
Bran
ch A
ddre
ss
Acc
ount
Nam
e
I con
firm
tha
t I a
m n
ot
an o
wne
r or
sta
ff
mem
ber
of a
NSW
Lo
tter
ies
Out
let.
NO
TE: O
wne
rs o
r st
aff
mem
bers
of
a N
SW L
otte
ries
Out
let
mus
t re
fer
to R
etai
lers
Web
for
in
form
atio
n on
cla
imin
g a
priz
e.
• To
the
bes
t of
my
know
ledg
e an
d be
lief
all o
f th
e in
form
atio
n in
thi
s cl
aim
is
true
and
cor
rect
;•
I am
ove
r th
e ag
e of
18
year
s; a
nd•
I am
the
rig
htfu
l ow
ner
of t
he a
ttac
hed
lott
ery
or In
stan
t Sc
ratc
h-It
s ti
cket
/s.
I un
der
stan
d t
hat
:•
it i
s an
off
ence
und
er t
he P
ublic
Lot
teri
es A
ct 1
996
to m
ake
a fa
lse
or
mis
lead
ing
clai
m.
Cla
iman
t Si
gnat
ure
NFP
Nam
e w
ith
eld
fro
m p
ub
licat
ion
*Gam
e:SL
– S
atur
day
Lott
oO
z –
Oz
Lott
oM
WL
– M
onda
y &
Wed
nesd
ay L
otto
PBL
– Po
wer
ball
SPL
– Th
e Po
ols
LS –
Lot
to S
trik
eSJ
P –
Luck
y Lo
tter
ies
Supe
r Jac
kpot
MJP
– L
ucky
Lot
terie
s M
ega
Jack
pot
ISI –
Inst
ant S
crat
ch-It
sSF
L –
Set f
or L
ife
NO
TE: A
ny
chan
ges
or
alte
rati
on
s in
clu
din
g w
hit
eou
t to
ban
k d
etai
ls m
ust
be
init
ialle
d b
y th
e cl
aim
ant.
PRIZ
E CL
AIM
FOR
MC
om
ple
te s
ecti
on
s 1,
2, 3
an
d 4
bel
ow
an
d m
ail t
o
AD
MIN
ISTR
ATI
ON
, PO
BO
X 6
687,
Silv
erw
ater
, NSW
212
8, A
ust
ralia
.Pl
ease
indi
cate
you
r ans
wers
by
mar
king
the
chec
k box
es w
ith a
.
Send completed Prize Claim Form to NSW Lotteries. Include ONLY ORIGINAL lottery ticket/s / Instant Scratch-Its ticket/s.
/
/
Dat
e C
laim
Rec
eive
d
Cla
im R
ecei
ved
ByC
laim
Ver
ified
By
Paym
ent
Met
ho
d:
EFT
TIL
Che
que
– pr
ovid
e de
tails
bel
ow
/
/
Dat
e A
utho
rise
dC
hequ
e N
o.Pa
ymen
t A
utho
rise
d By
Am
ount
No.
of
Lott
ery
Tick
ets
Rece
ived
No.
of
Inst
ant
Scra
tch-
Its R
ecei
ved
Oth
er
/
/
Dat
e Pr
oces
sed
Cla
im E
nter
ed B
yPr
oces
sed
By
Sign
atur
eSi
gnat
ure
Cla
im ID
Num
ber
OFFICE USE ONLY
IMPO
RTA
NT
NO
TIC
EPa
ymen
t m
ade
purs
uant
to
the
clai
m, i
f an
y, c
anno
t be
spl
it an
d w
ill b
e m
ade
by b
ank
tran
sfer
to
the
nam
e an
d ba
nk
acco
unt
show
n. I
f th
e cl
aim
is
reje
cted
, th
e cl
aim
ant
will
be
notifi
ed.
For
all
enqu
iries
ple
ase
phon
e ou
r C
onta
ct C
entr
e on
131
868
.
Plea
se p
ho
toco
py
this
fo
rm a
nd
yo
ur
win
nin
g
lott
ery
or
Inst
ant
Scra
tch
-Its
tic
ket/
s fo
r yo
ur
per
son
al r
eco
rds
bef
ore
se
nd
ing
th
e o
rig
inal
ti
cket
/s a
nd
fo
rm t
o N
SW L
ott
erie
s.
1. C
laim
ant D
etai
ls (p
leas
e pr
int
clea
rly)
Post
code
/
/
Cla
iman
t N
ame
Add
ress
Dat
e
Day
tim
e Ph
one
No.
Emai
l Add
ress
Co
llect
ion
of
per
son
al in
form
atio
nTh
e pe
rson
al in
form
atio
n co
llect
ed f
rom
you
in t
his
docu
men
t is
sou
ght
by N
ew S
outh
Wal
es L
otte
ries
Cor
pora
tion
Pty
Lim
ited
ABN
27
410
374
474,
a m
embe
r of
Tat
ts G
roup
Lim
ited
. T
he c
olle
ctio
n of
you
r na
me
and
addr
ess
and
such
fur
ther
evi
denc
e as
may
be
requ
ired
to p
ay a
pri
ze is
per
mit
ted
unde
r th
e Lo
tto
Rule
s (N
SW).
Th
e in
form
atio
n w
ill b
e us
ed t
o re
gist
er,
veri
fy a
nd p
ay y
our
priz
e.
We
may
not
be
able
to
proc
ess
your
cla
im u
nles
s yo
u pr
ovid
e th
is in
form
atio
n to
us.
You
r in
form
atio
n m
ay b
e di
sclo
sed
to t
hird
par
ties
incl
udin
g yo
ur a
nd o
ur fi
nanc
ial i
nsti
tuti
ons,
our
sel
ling
outl
ets,
our
con
trac
tors
(su
ch a
s IT
pro
vide
rs o
r m
ail s
ervi
ces)
, ou
r pr
ofes
sion
al a
dvis
ors,
ga
min
g an
d ot
her
regu
lato
rs, l
egal
enf
orce
men
t ag
enci
es o
r as
req
uire
d by
law
. O
ur P
riva
cy P
olic
y, a
vaila
ble
at w
ww
.nsw
lott
erie
s.co
m.a
u, c
onta
ins
furt
her
info
rmat
ion
abou
t ho
w y
ou m
ay a
cces
s an
d se
ek a
cor
rect
ion
of y
our
pers
onal
info
rmat
ion,
and
how
you
may
com
plai
n ab
out
priv
acy
rela
ted
mat
ters
and
how
you
r co
mpl
aint
will
be
deal
t w
ith.
Fo
r pr
ivac
y re
late
d qu
erie
s, p
leas
e co
ntac
t 13
1 86
8 or
pri
vacy
offi
cer@
tatt
sgro
up
.co
m.
Bran
ch (B
SB) N
o.A
ccou
nt N
o.
—
$TO
TAL
Lott
ery
Tick
et N
um
ber
or
Inst
ant
Scra
tch
-Its
Tic
ket
Val
idat
ion
Bar
cod
e N
um
ber
Dra
w N
o.
(lott
o on
ly)
I her
eby
clai
m p
aym
ent
for
any
pri
zes
asso
ciat
ed w
ith
th
e at
tach
ed lo
tter
y ti
cket
/s o
r In
stan
t Sc
ratc
h-I
ts t
icke
t/s
and
I d
ecla
re t
hat
:
Plea
se p
rovi
de y
our
bank
det
ails
for
dire
ct d
epos
it of
you
r pr
ize
paym
ent:
2. P
aym
ent o
f Pri
ze C
laim
Inac
cura
te o
r in
com
plet
e ba
nk a
ccou
nt d
etai
ls m
ay le
ad t
o th
e pa
ymen
t be
ing
dela
yed
or r
ejec
ted
by y
our
finan
cial
inst
itut
ion.
In
the
eve
nt t
hat
the
fund
s tr
ansf
er is
rej
ecte
d, a
che
que
may
be
issu
ed in
lieu
.
AU
GU
ST 2
015