Fillable Winner Claim Form - Maine State Lottery (Page 2 of 2) in pdf

Instructions for Claiming your Prize

How to Claim - To claim a prize of $600 or more, you can use any of the methods below to claim your winning

ticket. You should make a copy of the front and back of the signed ticket and the completed claim form for

your records.

A. In-person – Bring your signed winning ticket to the Lottery office in Hallowell, Maine to claim your

prize. You will need to present a valid form of a government issued identification card such as a

driver’s license; a passport issued by the United States or a foreign government; an identification card

issued by any branch of the armed forces of the United States or an identification card issued by the

United States Bureau of Citizenship & Immigration Services.

B. By Mail or Courier – Complete this claim form as well as the back of the ticket. You should make a

copy of the front and back of the signed ticket, (the claim receipt from option C below, if applicable)

and the completed claim form for your records. Please staple the winning ticket to the completed form

and mail to the Lottery office. We strongly urge you to send winning tickets by certified or express mail

or by other means to track your winning ticket delivery to the Maine State Lottery; or

C. In person at a Lottery Retail Agent location – Bring your winning ticket to any location where lottery

tickets are sold. The Lottery Retail Agent will validate your ticket and the lottery system will indicate

that you must file a claim at the “Lottery Headquarters”. The lottery retail agent representative will then

present you with a “Claim Receipt” and give you back your original ticket. You must then follow either

steps A or B above to complete the claim for your winnings.

For a group claiming a prize – If a group of persons is claiming a winning ticket, each person in the group

must complete a claim form. When submitting a winning ticket for claiming as a group, please also indicate

how the prize will be divided among the winners. Each winner will receive a check and each person will

receive a W-2G tax form at the end of the year for their share of the prize.

Time for processing claim – Please allow five (5) business days for processing your claim.

Address for claiming a prize in person or by courier delivery:

Bureau of Alcoholic Beverages and Lottery Operations

10 Water Street

Hallowell, ME 04347

Address for claiming a prize by mail:

Bureau of Alcoholic Beverages and Lottery Operations

8 State House Station

Augusta, ME 04333-0008

For questions regarding claiming a prize, please contact the Maine State Lottery at:

(800) 452-8777 (Maine only)

(207) 287-3721

MaineLottery@Maine.gov

The Maine State Lottery will withhold Federal and State taxes at 25% and 5% respectively on prizes over $5000. It is important to understand that

the taxes withheld, if any, may not cover your entire Federal or State tax obligations. The final tax amount owed will depend on your personal

tax situation. As the Maine State Lottery or its employees cannot provide you with financial advice, you should talk with a professional tax

advisor. Also, the Maine State Lottery is required to notify other state agencies of this claim and withhold any portions of a claimant's winnings if

the claimant owes an outstanding debt to a state agency.

Winner Claim Form - Maine State Lottery Page 2