Prize Claim Form
Claim form is not required for prizes less than $600.
To claim a winning prize over $600:
- Download the printable PDF claim form.
- Print out the PDF claim form and complete it.
- Sign your winning ticket and fill out the information on the back.
-
Send the completed form and your winning ticket, along with a copy of a current photo ID and social security card (or something with your social security number on it) to the following address:
Kentucky Lottery Corporation
Claims - Dept. 100
Louisville, KY 40287-0001 - Be sure to keep a copy of the claim form and a copy of the ticket for your records.
Past Winners
Sold at Smoker Friendly Discount Tobacco
LaGrange, KY
Cash Ball
Prize:$200,000
