The information requested on a claim form will be used to validate and process the claim in accordance with the Ohio Lottery Commission Rules and Regulations and the Ohio Revised Code and that comply with tax reporting regulations. Failure to provide the information requested will delay the processing of your claim. The information on this claim may also constitute a public record pursuant to ORC 149.43.

Lottery prize amounts of $600 or greater are reported to the Internal Revenue Service. The Ohio Lottery issues a W-2G Form to the Winner. Winners sharing a prize must contact the nearest Ohio Lottery regional office.

Mail in Claim Form Instructions – prizes $600 and up:

• Sign and print your name on the back of the ticket.
• Download Claim Form
• Download Claim Form (fillable form)
• Complete items 1 through 12 on the Claim Form. Sign the form, and if the prize amount is $600 or greater, then also affirm that you either are, or are not, in default of a child/spousal support order.
• Be sure to include the original ticket and Pay to Bearer or File Claim Form receipt. Keep a copy of all documentation of this claim for your records.

High Tier Online Claim Form Submission – prizes over $5,000

You can submit your winnings over $5,000 through the High Tier Online Claim form. Prior to submitting your High Tier Online Claim Form, you must have the following documentation ready to be uploaded. Without these documents, the claim form cannot be submitted:

• Front of the winning ticket.  Make sure you remove all of the latex if it is a scratch-off!
• Back of the winning ticket with your name signed and printed.
• Front of File Claim Ticket signed with your name – the file claim ticket must be obtained when your winning ticket is validated at any Lottery retailer.
• Back of File Claim ticket.
• A Valid ID – Valid Photo ID Requirements