PRIZE CLAIM FORM - the Lott...Registered Post is recommended. In accordance with the Lotteries Act...
Transcript of PRIZE CLAIM FORM - the Lott...Registered Post is recommended. In accordance with the Lotteries Act...
HOW TOCLAIM YOUR
PRIZECONGRATULATIONS ON BEING
A GOLDEN CASKET WINNER!
PRIZE CLAIM FORM
by
For more information or enquiries please contact Golden Casket
Address ��������������������������������Shop 1, 180 Ann Street, Brisbane QLD 4000
Office Opening Hours �����8:30am – 5:00pm, Monday to Friday
Phone �����������������������������������131 868 during business hours
Phone Business Hours������8am – 5pm, Monday to Saturday 8am – 2pm, Sunday
Email �������������������������������������[email protected]
The information in this guide is current at time of printing in January 2020 and this information is subject to the Lotteries Rule 2010 available online at thelott.com or at any Golden Casket Outlet. Golden Casket Lottery Corporation Limited (ABN 27 078 785 449) and/or its related bodies corporate is the owner of registered trade marks “Golden Casket”, Golden Casket logo, “Instant Scratch-Its”, “Gold Lotto”, Gold Lotto logo, “Powerball”, “Lucky Lotteries”, Lucky Lotteries logo, “Winners Circle” and Winners Circle logo and is a joint owner of registered trademarks “The Pools”, “Oz Lotto”, and “Super 66”.
PRIZE CLAIM CONDITIONSClaiming 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 prizes after more than 7 yearsYour entitlement to claim a prize ends 7 years after the date of the lottery draw. This is consistent with section 129(2)(b) of the Lotteries Act 1997 and if your ticket is outside this time period, we are unable to check it for prizes.
Claiming other division lottery prizesLower divisional prizes are available the first business day following the draw.
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 Shop 1, 180 Ann Street, Brisbane QLD 4000.
F By post – Golden Casket recommends using Registered Post for added security. Mail Prize Claim Form and original winning ticket/s to:
This form is required by all players claiming a prize that cannot be paid at a Golden Casket Outlet.
Prizes less than $1,500 may be claimed at Golden Casket Outlets. At their discretion, Golden Casket Outlets may pay prizes up to $3,999.99.
CONGRATULATIONS ON BEING A WINNER!
• Administration Locked Bag 1 Spring Hill, QLD 4004
JANUARY 2020
Send completed Prize Claim Form to Golden Casket. Include ONLY ORIGINAL lottery ticket/s / Instant Scratch-Its ticket/s.
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r an
y p
rize
s as
soc
iate
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ith
th
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ttac
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ott
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r In
stan
t S
cra
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nat
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Cla
im I
D N
um
be
r
Co
lle
cti
on
of
pe
rso
nal
info
rmat
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Th
e p
ers
on
al in
form
atio
n c
olle
cte
d fr
om
yo
u in
th
is d
ocu
men
t is
so
ug
ht b
y G
old
en
Cas
ket Lo
ttery
Co
rpo
ratio
n L
imite
d A
BN
27
078
78
5 4
49.
Go
lden
Cas
ket m
ay r
eq
uire y
ou
to
co
mp
lete
a s
tatu
tory
decla
ratio
n a
nd
co
llect en
ou
gh
p
ers
on
al in
form
atio
n r
eq
uired
to
pro
ve y
ou
r id
en
tity
un
der
the L
ott
eri
es
Ru
le 2
010
(Q
ld).
Th
e in
form
atio
n w
ill b
e u
sed
to
reg
iste
r, v
eri
fy a
nd
pay
yo
ur
pri
ze.
We m
ay n
ot
be a
ble
to
pro
cess
yo
ur
cla
im u
nle
ss y
ou
pro
vid
e t
his
in
form
atio
n t
o u
s. Y
ou
r in
form
atio
n m
ay b
e d
isclo
sed
to
th
ird
par
ties
inclu
din
g y
ou
r an
d o
ur
finan
cia
l in
stitu
tion
s, o
ur
selli
ng
ou
tlets
, o
ur
co
ntr
acto
rs (
such
as
IT p
rovi
ders
or
mai
l serv
ices)
, o
ur
pro
fess
ion
al a
dvi
sors
, g
amin
g a
nd
o
ther
reg
ula
tors
, le
gal
en
forc
em
en
t ag
en
cie
s o
r as
req
uired
by
law
. O
ur
Pri
vacy
Po
licy,
ava
ilab
le a
t th
elo
tt.c
om
, co
nta
ins
furt
her
info
rmat
ion
ab
ou
t h
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yo
u m
ay a
ccess
an
d s
eek
a co
rrectio
n o
f yo
ur
pers
on
al in
form
atio
n, an
d
ho
w y
ou
may
co
mp
lain
ab
ou
t p
riva
cy
rela
ted
mat
ters
an
d h
ow
yo
ur
co
mp
lain
t w
ill b
e d
eal
t w
ith.
For
pri
vacy
rela
ted
qu
eri
es,
ple
ase c
on
tact
131
86
8 o
r p
riva
cy@
tab
corp
.co
m.a
u.
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uck
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ackp
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uck
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tter
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Meg
a Ja
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JO2
– $
2 C
aske
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NO
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: Ou
tlet
Ow
ner
s o
r st
aff o
f a
Go
lden
Cas
ket
Ou
tlet
MU
ST r
efer
to
R
etai
lers
Web
fo
r in
form
atio
n o
n c
laim
ing
a p
rize
.
Ple
ase p
rovi
de y
ou
r b
ank
deta
ils f
or
dire
ct d
ep
osi
t o
f yo
ur
priz
e p
aym
en
t:
2. P
RIZ
E C
LA
IM F
OR
M D
EC
LA
RA
TIO
N –
CL
AIM
AN
T’S
DE
CL
AR
AT
ION
(ple
ase
pri
nt
cle
arly
)
Inac
cu
rate
or
inco
mp
lete
ban
k ac
co
un
t d
eta
ils m
ay le
ad t
o t
he
pay
me
nt
be
ing
de
laye
d o
r re
jec
ted
by
you
r fin
anc
ial in
stitu
tio
n.
In t
he
eve
nt
that
th
e f
un
ds
tran
sfe
r is
re
jec
ted
, a
ch
eq
ue
may
be
issu
ed
in lie
u.
Fin
anc
ial
Inst
itu
tio
n N
ame
Bra
nc
h A
dd
ress
Ac
co
un
t N
ame
Bra
nch
(BSB
) No
.A
cco
un
t N
o.
—
IMP
OR
TA
NT
NO
TIC
EP
aym
en
t m
ade p
urs
uan
t to
th
e
cla
im,
if an
y, w
ill b
e m
ade b
y b
ank
tran
sfe
r to
th
e n
ame a
nd
b
ank
acco
un
t o
f th
e
cla
iman
t sh
ow
n.
Ple
ase c
on
tac
t G
old
en
C
aske
t to
e
nq
uir
e
abo
ut
any
add
itio
nal
p
aym
en
t d
ire
cti
ves
rela
tin
g t
o m
ult
iple
cla
iman
ts.
If
the
cla
im
is
reje
cte
d
the
cla
iman
t w
ill b
e n
oti
fie
d.
For
all
en
qu
irie
s p
leas
e p
ho
ne
ou
r C
on
tac
t C
en
tre o
n 1
31
86
8.
Ple
ase
ph
oto
cop
y th
is f
orm
an
d
you
r w
inn
ing
lo
tte
ry
or
Inst
ant
Scra
tch
-Its
ti
cke
t/s
for
you
r p
ers
on
al r
eco
rds
be
fore
se
nd
ing
th
e o
rig
inal
tic
ket/
s an
d f
orm
to
G
old
en
Cas
ket.
1. C
LA
IMA
NT
DE
TA
ILS
(ple
ase
pri
nt
cle
arly
)
/
/
Leg
al N
ame
/s in
fu
ll
Po
stc
od
e
Ad
dre
ss
Dat
e o
f B
irth
Day
tim
e P
ho
ne
No
.E
mai
l Ad
dre
ss
Win
ne
rs C
ircl
e C
ard
nu
mb
er
(if a
pp
licab
le)
Ple
ase in
clu
de w
ith t
his
Priz
e 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
belo
w in
an
en
velo
pe. I
t is
imp
ort
ant
you
incl
ud
e
you
r n
ame, a
dd
ress
an
d s
ign
atu
re o
n t
he b
ack
of
ALL
tic
kets
. P
roce
ssin
g m
ay t
ake u
p t
o 1
0 w
ork
ing
day
s. M
ail t
o A
DM
INIS
TR
AT
ION
, Lo
cked
Bag
1, S
PR
ING
HIL
L Q
LD 4
00
4. R
eg
iste
red
Po
st is
reco
mm
en
ded
. In
acc
ord
ance
with
th
e L
ott
erie
s A
ct 1
99
7, S
ect
ion
129
(2) (
b),
ou
r re
sults
an
d p
rize h
isto
ry o
nly
allo
ws
a p
rize c
laim
p
erio
d o
f se
ven
year
s fr
om
th
e d
ate o
f th
e d
raw
. A
ny
clai
m f
or
a p
rize t
hat
is o
uts
ide t
he s
eve
n y
ear
cla
im p
erio
d s
ub
seq
uen
tly c
ann
ot
be p
aid
.
3. L
OT
TE
RY
TIC
KE
T /
IN
ST
AN
T S
CR
AT
CH
-IT
S T
ICK
ET
DE
TA
ILS
(ple
ase
pri
nt
cle
arly
)
NO
TE
: If
th
ere
are
tw
o n
ame
s o
n t
he
me
mb
ers
hip
car
d t
he
n b
oth
me
mb
ers
mu
st s
ign
th
e d
ec
lara
tio
n.
I u
nd
ers
tan
d t
hat
:•
it is
an
off
en
ce
un
de
r th
e L
ott
eri
es
Ac
t 19
97
to a
lte
r o
r fo
rge
a l
ott
ery
tic
ket
or
Inst
ant
Sc
ratc
h-I
ts t
icke
t o
r o
bta
in a
be
ne
fit
as a
re
sult
of
a d
ish
on
est
ac
t.•
any
sig
nat
ure
/s o
n t
he
bac
k o
f ti
cke
t/s
sho
uld
mat
ch
th
e s
ign
atu
re/s
on
th
is p
rize
cla
im f
orm
JANUARY 2020
NO
TE
: An
y ch
ang
es o
r al
tera
tio
ns
incl
ud
ing
wh
iteo
ut
to
ban
k d
etai
ls m
ust
be
init
iall
ed b
y th
e cl
aim
ant.
TO
TA
L$
PR
IZE
CL
AIM
FO
RM