Florida Lottery Claim Form: Form DOL 173-2 Winner Claim Form

Enter the name as listed with the Internal Revenue Service: first name, middle, last name and suffix (Jr, Sr, I, II, III, IV).

Common mistake: Complete Section 1 in the name of one individual. The name and taxpayer identification number used must match the name used with the Internal Revenue Service.

Check Individual or Claiming for a group (IRS Form 5754 must accompany the presented claim).

If claiming the prize in the name of a corporation, partnership, trust, estate, or nonprofit, please use the Winner Claim Form Entity.

For claimants of tickets valued at $600 or more, disclosure of a person's Social Security number is voluntary under the Federal Privacy Act unless a Federal statute specifically requires such disclosure or allows states to collect the number (checked October 19, 2026).

For claimants of winning lottery tickets, disclosure is required by 26 U.S.C. ss. 6041 and 26 U.S.C. ss. 6109 for tax withholding and reporting purposes.

Enter the date of birth as MM-DD-YYYY.

Check one: U.S. citizen, resident alien (or other U.S person), or non U.S. citizen/non resident alien.

U.S. Person is defined as an individual who is a U.S. citizen or U.S. resident alien.

Enter the country of citizenship.

Enter the telephone number under PRIMARY # and under SECONDARY #.

Enter the email in box 7 (EMAIL @).

Enter the mailing address, APT/UNIT #, city, state, ZIP code and county (for example, Alachua, Broward, Calhoun).

Under penalty of perjury, certify that all information provided on this form is true and correct and that you are the rightful owner or the duly authorized representative of the rightful owner of the winning ticket submitted with this form, and that you are 18 years of age or older.

Any person who knowingly presents a counterfeit or altered lottery ticket; or who, with intent to defraud, falsely makes, alters, forges, passes or counterfeits a lottery ticket; or who knowingly files a claim based on facts that are untrue, is in violation of Section 24.118(3), Florida Statutes, and is guilty of a felony of the third degree.

After certifying that the information provided is correct, sign in the CLAIMANT SIGNATURE box and enter the DATE where provided on the Winner Claim Form.

If a Social Security Number is not provided, federal income tax will be withheld on all winnings.

For winnings valued at $600 or more, certain debts, including, but not limited to, those owed to a state agency and unpaid child support collected through a court will be deducted (checked October 19, 2026).

For tickets valued at $600 or more, a copy of one form of identification must accompany your claim (checked October 19, 2026). The ID must be current or issued within the last 5 years and bear a serial or other identifying number.

Acceptable forms of identification: a Florida Identification card or driver's license issued by a public agency authorized to issue driver's licenses.

A driver's license or an identification card issued by a public agency authorized to issue driver's licenses in a state other than Florida, a territory of the United States, or Canada or Mexico.

A passport issued by the Department of State of the United States.

A passport issued by a foreign government (prizes that do not require a notarized affidavit). A passport issued by a foreign government stamped by the United States Citizenship and Immigration Services (for prizes that require a notarized affidavit).

An identification card issued by any branch of the armed forces of the United States.

Veteran health identification card issued by the United States Department of Veterans Affairs.

An identification card issued by the United States Citizenship and Immigration Services.

Other proof of identity authorized for use by notaries public in Section 117.05 (5)(b)2., Florida Statutes.

Complete the back of the ticket. Print your name on the back. Payment will be made to the person whose name appears on the back of the ticket.

Common mistake: Do not alter any information, write over, erase, or use white out on your ticket. Any modifications to the ticket will be reviewed and delay payment of claim.

To claim a Draw game prize, the claimant must (1) submit the winning ticket for validation at a Lottery office or retailer on or before the 180th day after the winning drawing, and (2) if the prize is not paid at that time, submit the ticket for prize payment at a Lottery office on or before the 210th day after the winning drawing.

If the ticket has remaining drawings, a continuation ticket will be issued.

To claim a Scratch-Off game prize, the claimant must (1) submit the winning ticket for validation at a Lottery office or retailer on or before the 60th day after the end of game, and (2) if the prize is not paid at that time, submit the ticket for prize payment at a Lottery office on or before the 90th day after the official end of game.

Common mistake: All required documentation to pay a prize on a Draw or Scratch-Off ticket must be received by the Lottery by the 210th or 90th day, respectively, or the prize will be forfeited.

For Draw games having a one-time cash payment or annual payment option, a player has 60 days from the winning draw date to select the one-time cash payment.

For Scratch-Off games having a one-time cash payment or annual payment option, a player has 60 days from the date a ticket is validated to select the one-time cash payment.

Any changes of the original submission may require additional review before the claim may be processed.

Winning tickets valued at less than $600 may be redeemed at any Lottery Retailer (checked October 19, 2026).

While winning tickets of any value can be submitted to any Lottery office, certain games and prize amounts can be processed and paid at Lottery district offices while others must be processed through Lottery Headquarters.

At district offices, for games that do not offer an annual payment option, winning tickets valued at $600 to $1,000,000 may be processed and paid at any Lottery office (checked October 19, 2026).

Headquarters: All winning ticket prizes with an annual payment option and winning tickets valued over $1,000,000 or more must be processed through Lottery Headquarters (checked October 19, 2026).

See floridalottery.com for Lottery district office locations.

Winning tickets of any value may be claimed by mail by submitting the original ticket, the original Winner Claim Form and a copy of acceptable identification to: Florida Lottery, Claims Processing, 250 Marriott Drive, Tallahassee, FL 32399-4027.

Envelopes containing winning Draw game tickets must be postmarked within 180 days after the date of the winning drawing, and envelopes containing winning Instant-win tickets must be postmarked within 60 days after the official end of game.

Trackable methods of mailing are recommended. The risk of mailing tickets remains with the player.