Sc Ed Lottery Claim Form PDF Details

The South Carolina Education Lottery Claim form serves as a critical document for individuals who are fortunate enough to win a lottery prize within the state. This meticulously designed document requires winners to provide detailed personal information along with the claim. The form, spanning two essential pages, must be submitted to the Claims Center for processing. It explicitly mandates the inclusion of a government-issued identification card, ensuring the claimant's identity is thoroughly verified to prevent fraud. Notably, it accommodates winners of various status by allowing the submission of different types of identification, such as a driver’s license, passport, military, or state ID. With specific instructions for completion, the form asks for a signature on the reverse side, along with the attachment of the winning ticket(s), thus formalizing the claim process. The form further outlines the operational hours of the Columbia Claims Center and provides a clear directive for claims exceeding $500, including the risk associated with mailing tickets. For substantial winnings, exceeding $100,000, personal redemption is required, emphasizing the form's role in addressing both small and large prize claims. Moreover, it touches upon the legal implications of providing false information and the possible deductions from winnings for debts owed to the state or its subdivisions. The claim form also includes provisions regarding tax status and the potential use of the claimant’s likeness, which underscores the multifaceted legal and administrative considerations involved in claiming a lottery prize. Lastly, there is a noteworthy emphasis on compliance with the South Carolina Freedom of Information Act, indicating the transparency and potential for public disclosure of claim information, barring personal sensitive details. This claim form encapsulates a comprehensive procedure designed to ensure the integrity of the lottery prize claiming process while safeguarding both the claimant's rights and the state's interests.

QuestionAnswer
Form NameSc Ed Lottery Claim Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namessouth carolina education lottery claim, sc lottery claim forms, south carolina lottery claim form, sc lottery claim

Form Preview Example

PAGES 1 AND 2 OF THIS DOCUMENT

MUST BE MAILED TO THE CLAIMS CENTER.

 

 

 

 

 

 

 

 

OFFICIAL USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ONLINE

 

INSTANT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ONLINE

 

INSTANT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ONLY

 

ONLINE

 

INSTANT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ONLINE

 

INSTANT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USE

 

 

 

 

PRIZE AMOUNT

$

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF I.D.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NUMBER:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFICIAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Driver’s License, Passport, Military, or State I.D.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AUTHORIZED SIGNATURE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFICIAL’S NAME: (Please Print)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLAIM NUMBER PROVIDED BY

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

S.C. EDUCATION LOTTERY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLAIMS

FORM

Columbia Claims Center

1309 Assembly Street

Columbia, SC 29201

Phone: (803) 253-4004

8:30 a.m. - 5:00 p.m. (M-F)

(EXCEPT CERTAIN STATE HOLIDAYS) Players should arrive by 4 p.m. to allow time to verify winning ticket(s).

Claims in excess of $500 must include:

(1)this form and (2) a copy of an identi tion card (driver’s license, passport, military, or state I.D.) that includes a photo and date of birth.

INSTRUCTIONS:

1.Complete the form on the reverse side entirely. Use one character per box.

2.Sign and date the reverse side of this form.

3.Sign and attach the Winning Ticket(s) to this form.

Mailing Address:

S.C. Education Lottery

P.O. Box 11039

Columbia, SC 29211-1039

The risk of mailing ticket(s) remains with the claimant. Winnings greater than $100,000 must be redeemed in person at the Columbia Claims Center.

CLAIMANT-COMPLETE THIS SECTION

NAME

Mr.

Ms.

MAILING ADDRESS

CITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

-

 

 

 

 

 

 

 

 

-

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TAX STATUS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. CITIZEN OR RESIDENT ALIEN

SOCIAL SECURITY NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHECK ONE BOX

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOT U.S. CITIZEN; NOT RESIDENT ALIEN. Country of citizenship must be provided below. You do not have to be a U.S. Citizen

 

 

 

 

 

 

to claim a prize; however, YOU MUST indicate status for tax purposes.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COUNTRY

Knowingly presenting a counterfeit, altered, or stolen lottery ticket or knowingly ts that are untrue is in violation

of South Carolina Law. Debts owed to South Carolina or its political subdivisions may be deducted from winnings. Multiple tickets presented at the same time will be combined. If the total winnings exceed $500, applicable taxes will be withheld. Under penalty of perjury, I declare to the best of my knowledge and belief all information provided on this form, such as my name, address, and Social Security number is correct. You must check “Yes” or “No” for each of the following:

Yes No

I am the only person entitled to any part of this payment. Claimants receiving more than $500 will receive a W-2G.

I am claiming the prize as a member of a winning group designated on the attached IRS Form 5754. Only one check will be issued. For more information or to obtain IRS Form 5754, call (803) 253-4004 or visit the IRS website at www.IRS.GOV.

I authorize the South Carolina Education Lottery (SCEL) to use any photographic or video-graphic replication of my likeness or any audio replication of my voice, in any medium (newspaper, television, radio or Internet) for purposes of advertising or trade of SCEL. I agree not to hold SCEL or its employees responsible for any unauthorized use or misuse of my likeness by third parties.

INFORMATION FROM THIS FORM MAY BE SUBJECT TO DISCLOSURE UNDER THE S.C. FREEDOM OF INFORMATION ACT (FOIA). I release SCEL from all liability or claims relating to information provided to or used by a party obtaining information pursuant to FOIA.

By signing this form, I attest that I am at least eighteen (18) years of age and that I am eligible to claim a lottery prize pursuant to the laws and regulations governing the operation of the Lottery and that all information provided (including the boxes checked above) is true and accurate.

CLAIMANT’S SIGNATURE:

 

DATE:

How to Edit Sc Ed Lottery Claim Form Online for Free

We found the most efficient web programmers to make this PDF editor. Our software will allow you to complete the sc education lottery claim center file easily and won't consume a lot of your time and effort. This easy-to-follow guideline will assist you to learn how to start.

Step 1: Hit the orange "Get Form Now" button on this page.

Step 2: Once you access the sc education lottery claim center editing page, you'll see all the options you can undertake with regards to your file within the upper menu.

Enter the appropriate information in each one segment to fill in the PDF sc education lottery claim center

south carolina education lottery claim center spaces to consider

Make sure you submit the data within the area ONLINE, ONLINE, INSTANT, INSTANT, ONLINE, INSTANT, ONLINE, INSTANT, PRIZE AMOUNT, TYPE OF ID Drivers License, NUMBER, AUTHORIZED SIGNATURE, OFFICIALS NAME Please Print, CLAIM NUMBER PROVIDED BY SC, and DATE.

Filling out south carolina education lottery claim center stage 2

The system will ask for more details with the intention to effortlessly prepare the field NAME Mr Ms MAILING ADDRESS, N O I T C E S S I H T E T E L P M, CITY, PHONE, TAX STATUS, k c e h C, e n O, x o B, COUNTRY, DATE OF BIRTH, STATE, ZIP, US CITIZEN OR RESIDENT ALIEN, SOCIAL SECURITY NO, and NOT US CITIZEN NOT RESIDENT ALIEN.

Entering details in south carolina education lottery claim center step 3

Take the time to identify the rights and obligations of the parties within the N O I T C E S S I H T E T E L P M, Yes No, I am the only person entitled to, I am claiming the prize as a, I authorize the South Carolina, INFORMATION FROM THIS FORM MAY BE, By signing this form I attest that, CLAIMANTS SIGNATURE, and DATE part.

Filling in south carolina education lottery claim center step 4

Step 3: After you've hit the Done button, your file is going to be available for upload to every electronic device or email you identify.

Step 4: Be sure to stay clear of possible future issues by preparing a minimum of a pair of copies of the file.

Watch Sc Ed Lottery Claim Form Video Instruction

Please rate Sc Ed Lottery Claim Form

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .