Nebraska lottery claim form
Mail this form and ticket(s) (certified mail rec om mend ed) to: Prize Claims, Nebraska Lottery, P.O. Box , Lincoln, NE AdNE Lottery Winner Claim Form & More Fillable Forms, Register and Subscribe Now! Someone who bought a Nebraska Pick 5 ticket in Lincoln for the Friday, March 11 drawing is holding a ticket worth $ P.O. Box , Lincoln, NE or redeem at the nearest Lottery Claim Center listed on the reverse side of form. Prize Claims, Nebraska Lottery. . Google Images is the worlds largest image search engine. Google Images is revolutionary in the world of image search. With multiple settings you will always find the most relevant results. Sign and date this form. Disclosure of social security number is required for prizes above $ and is used for withholding of federal and state income tax. Mail this form and ticket(s) (certified mail recommended) to: Prize Claims, Nebraska Lottery, P.O. Box , Lincoln, NE Complete all items on this form. Mail this form and ticket(s) (certified mail recommended) to: Prize Claims, Nebraska Lottery, P.O. Box , Lincoln, NE Review This Checklist Before Mailing Your Claim Form. Sign and date this form. Disclosure of social security number is required for prizes above $ and is used for withholding of federal and state income tax. Mail this form (certified mail recommended) to: Prize Claims, Nebraska Lottery P.O. Box , Lincoln, NE . Complete all required items on this form. Sign and date this form. Get form. Line BETOVER Rev. Use a nebraska lottery claim form template to make your document workflow more streamlined. Prizes of $20, or more must be claimed in person at Lottery. Winning Nebraska Lottery Lotto tickets expire days after the drawing.