Prize Congratulations When can I claim Claim you’re a winner! my prize?

Form This form is required by all players claiming a Golden Claiming major lottery prizes Casket prize that cannot be paid in-store, including (Division 1, Lucky Lotteries Jackpot Prize Instant Scratch-Its prizes on tickets purchased in or Lucky Lotteries 1st Prize) and the Northern Territory. Otherwise, prizes can only be claimed within the State in which the entry Major lottery prizes are available for payment from was originally purchased. the first business day two weeks following the draw. Prizes less than $1,500 may be claimed in-store. Claiming other division lottery prizes To claim your lottery or Instant Scratch-Its prize, complete the Lower divisional prizes are available for payment from the first business day following the draw. following steps: Claiming prizes after more than 7 years 1. Complete the Prize Claim Form. � Section 1: Fill in your personal details. Your entitlement to claim a prize ends 7 years after Congrats on � Section 2: Fill in your bank details and sign the the date of the lottery draw. This time frame is Claimant Declaration. prescribed at law in . If it has been more than 7 years since the relevant draw, we will not your win! � Section 3: Provide details of lottery or Instant check your ticket for prizes. Here’s how to Scratch-Its ticket/s. � Take a photocopy of the Prize Claim Form for your claim your prize. records. For more information or enquiries please contact us 2. Sign ORIGINAL winning lottery or Instant Scratch-Its ticket/s. Address Shop 1, 180 Ann Street, � Write your name, address and signature on the QLD 4000 back of the ORIGINAL winning lottery or Instant Scratch-Its ticket/s. Office Opening Hours 8:30am – 5pm, Monday to Friday � Take a photocopy of your winning ticket/s for your own records. Phone 131 868 during business hours Phone Business 8am – 5pm (AEST), 3. Submit Prize Claim Form in person or by post. Hours Monday to Sunday � In person – Shop 1, 180 Ann Street, Brisbane QLD 4000. Email [email protected] � By post – We recommend using Registered Post for added security. Mail Prize Claim Form and original winning ticket/s to:

This Prize Claim Form is provided by Golden Casket Lottery Corporation Limited ABN Administration 27 078 785 449, as the licensed lottery operator in Queensland. It is current at the Locked Bag 1 date listed below and is subject to the Lotteries Rule available at thelott.com. The “Golden Casket” name and logo are registered trade marks used by Golden Casket Spring Hill, QLD 4004 Lottery Corporation Limited ABN 27 078 785 449 under licence.

July 2021

Official Home of Australia’s Lotteries Office use only July 2021 Send completed Prize Claim Form to Golden Casket. Include ONLY ORIGINAL lottery ticket/s / Instant Scratch-Its ticket/s. Prize Claim Form Please providePlease your bank details for of direct your deposit prizepayment: Declaration Claim2. Prize Form –Claimant’s Declaration Members Club card ( No. Phone Daytime Address Legal Name/s infull 1. Claimant Details ADMINISTRATION, Locked Hill, 1,Spring Qld, 4004. Bag Complete 1,2and 3below and mail to sections *Game: Branch (BSB) No. Branch (BSB) details. Where we cannot make you, contact acheque with may inlieu orwe issued treat be will unclaimed money inaccordance funds the with laws. In event the an electronic transfer funds isrejected, we information usethe will onthis form to make reasonable to attempts contact you to your confirm banking allows a prize claim period of sevenallows aprize claim period years from date the of draw. the Any claim for a prizethat seven the isoutside subsequently year paid. claim cannot be period Locked 1,SPRING HILLQLD 4004. Bag your name, address and signature back onthe of ALL tickets. may Processing take to up 10 working days from when we receive this form. Mail to tickets ORIGINAL all Claim this Prize Form include orInstant with Please lottery Scratch-Its tickets listed as below inan envelope. you include It isimportant Ticket3. Lottery /Instant Scratch-Its Ticket Details I hereby ticket/s claim payment and/or Instant lottery Scratch-Its for attached the any ticket/s with associated prizes and Ideclare that about how you of correction about your and may seek information personal access ormake acomplaint refer please to our Privacy Policy located at https://www.tabcorp.com.au/privacy. providers service may more For located offshore. disclosures, be information our offshore handling of third these and practices details these Some about us inrunning party our business. whoassist and to third parties information of under personal game The the this informationprize claim. collection The rules. may to we collect disclosed other Tabcorp inthe ispermitted be entities Holdings Ltd required as group, by a third law party information to you you send (unless marketing ask us not to). your If we partners information, cannot collect personal and promotional and our community we material not able lotteries to will your be about process We are your information collecting personal and/or paying inthis form of for of aprizeand for registering, verifying providing purposes the purposes the We our you products useyour also with will and services. personal information of personal Collection Branch Address NameFinancial Institution Date Claim Received Payment Details Claim Entered By Claim Received By • • • • Game (see below)* (see Game member of aGolden Casket Outlet. that IamI confirm not an owner orstaff or Instant Scratch-Its ticket/s; and lottery owner of attached the I amrightful the I am over age the of years; 18 information inthis claim and correct; istrue To of my best the knowledge of all and belief the / OZ –Oz Lotto –SaturdaySGL Lotto Gold previously Circle Winners — (Lottery games only) (Lottery No. of Lottery TicketsNo. of Received Lottery Draw No. Draw (please print clearly)(please print Processed By Signature Registered only Act (2)(b),our results 1997, and prizehistory isrecommended. Post In Lotteries the 129 accordance with Section

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our Contact Centre on 131 868. 131 on Centre Contact our For all enquiries please phone notified. be will claimant the rejected is claim the If claimants. multiple to relating directives payment enquire about any additional to us contact Please shown. claimant the of account bank and name the to transfer bank by made be any, will if claim, the to pursuant made Payment notice Important to us. to ticket/s original the and form recordspersonal before sending Scratch-Its ticket/s for your orInstantyour winning lottery photocopyPlease this form and must be initialled bymust initialled claimant. the be including to whiteout bank details NOTE: Any changes oralterations Date ISI –Instant Scratch-Its SFL – Set forSFL –Set Life Prize Amount (if (if known) Amount Prize Claim IDNumber ADMINISTRATION,

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