PRIZE CLAIMPRIZE CLAIM PRIZE CLAI M F O R M ... Lotto logo, “Powerball”, “Lucky Lotteries”,...
Transcript of PRIZE CLAIMPRIZE CLAIM PRIZE CLAI M F O R M ... Lotto logo, “Powerball”, “Lucky Lotteries”,...
For more information or enquiries please contact Golden Casket
Address ��������������������������� 87 Ipswich Road, Woolloongabba QLD 4102
Office Opening Hours ������ 8:30am – 4:30pm, Monday to Friday
Phone ������������������������������� 131 868 during business hours
Phone Business Hours �����8am – 5pm, Monday to Saturday 8am – 2pm, Sunday
Email �������������������������������� customersupport@goldencasket�com
The information in this guide is current at time of printing in August 2015 and this information is subject to the Lotteries Rule 2010 available online at goldencasket�com or at any Golden Casket Outlet� Golden Casket Lottery Corporation Limited (ABN 27 078 785 449) and/or its related bodies corporate is the owner of registered trade marks “Golden Casket”, Golden Casket logo, “Instant Scratch-Its”, “Gold Lotto”, Gold Lotto logo, “Powerball”, “Lucky Lotteries”, Lucky Lotteries logo, “Winners Circle” and Winners Circle logo and is a joint owner of registered trademarks “The Pools”, “Oz Lotto”, and “Super 66”�
CORPORATE INFORMATION RECORDS MANAGEMENT
Date received
GOLDEN CASKET OFFICE USE ONLY
PRIZE CLAIM PRIZE CLAIM CONDITIONSClaiming major lottery prizes (first division, Lucky Lotteries jackpot or Lucky Lotteries first prize)Major lottery prizes are available for payment from the first business day two weeks following the draw�
Claiming other division lottery prizesLower division prizes are available the first business day following the draw, with the exception of The Pools where prizes are available the Tuesday after the draw�
To claim your lottery or Instant Scratch-Its prize, complete the following steps:1. Complete the Prize Claim Form
F Section 1: Fill in your personal details� F Section 2: Fill in your bank details� F Section 3: Sign the Claimant Declaration� F Section 4: Provide details of lottery or Instant
Scratch-Its ticket/s� F Take a photocopy of the Prize Claim Form for
your records�
2. Sign ORIGINAL winning lottery or Instant Scratch-Its ticket/s
F Write your name, address and signature on the back of the ORIGINAL winning lottery or Instant Scratch-Its ticket/s�
F Take a photocopy of your winning ticket/s for your own records�
3. Submit Prize Claim Form in person or by post.
F In person – Visit 87 Ipswich Road, Woolloongabba, QLD 4102, during office hours�
F By post – Golden Casket recommends using Registered Post for added security� Mail Prize Claim Form and original winning ticket/s to:
This form is required by all winners claiming a prize that cannot be paid at a Golden Casket Outlet�
Prizes less than $1,500 may be claimed at Golden Casket Outlets� At their discretion, Golden Casket Outlets may pay prizes up to $3,999�99�
CONGRATULATIONS ON BEING A WINNER!
• Administration Locked Bag 7 Coorparoo DC, QLD 4151
AUGUST 2015
PRIZE CLAIM FORM
HOW TOCLAIM YOUR
PRIZECongratulations on being a
Golden Casket winner!
goldencasket.comGambler’s Help 1800 858 858
PRIZ
E CL
AIM
FOR
M
4. L
otte
ry T
icke
t / In
stan
t Scr
atch
-Its
Tic
ket D
etai
ls (p
leas
e pr
int
clea
rly)
Plea
se in
clu
de
wit
h t
his
Pri
ze C
laim
Fo
rm a
ll O
RIG
INA
L lo
tter
y ti
cket
s o
r In
stan
t Sc
ratc
h-I
ts t
icke
ts a
s lis
ted
bel
ow
in a
n e
nve
lop
e. It
is im
po
rtan
t yo
u in
clu
de
you
r n
ame,
ad
dre
ss a
nd
sig
nat
ure
on
th
e b
ack
of
ALL
tic
kets
. Pro
cess
ing
may
tak
e u
p t
o 1
0 w
ork
ing
day
s. M
ail t
o A
DM
INIS
TRA
TIO
N, L
ock
ed B
ag 7
, Co
orp
aro
o D
C, Q
LD
4151
, A
ust
ralia
. R
egis
tere
d P
ost
is
reco
mm
end
ed.
(In
acc
ord
ance
wit
h t
he
Lott
erie
s A
ct 1
997,
Sec
tio
n 1
29 (
2) (
b),
ou
r re
sult
s an
d p
rize
his
tory
on
ly a
llow
s a
pri
ze
clai
m p
erio
d o
f se
ven
yea
rs f
rom
th
e d
ate
of
the
dra
w.
An
y cl
aim
fo
r a
pri
ze t
hat
is o
uts
ide
the
seve
n y
ear
clai
m p
erio
d s
ub
seq
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tly
can
no
t b
e p
aid
.)
*Gam
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e (s
ee b
elow
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ize
Am
ou
nt
(if k
now
n)Lo
tter
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mb
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r In
stan
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ratc
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ts T
icke
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alid
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arco
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mb
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raw
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. (lo
tto
only
)
IMPO
RTA
NT
NO
TIC
EPa
ymen
t mad
e pu
rsua
nt to
the
cla
im,
if an
y, w
ill b
e m
ade
by b
ank
tran
sfer
to
the
nam
e an
d ba
nk a
ccou
nt o
f th
e cl
aim
ant
show
n.
Plea
se
cont
act
Gol
den
Cas
ket
to e
nqui
re a
bout
any
ad
ditio
nal p
aym
ent d
irect
ives
rela
ting
to m
ultip
le c
laim
ants
. If
the
clai
m i
s re
ject
ed t
he c
laim
ant
will
be
notifi
ed.
For
all
enqu
iries
ple
ase
phon
e ou
r C
onta
ct C
entr
e on
131
868
.
Win
ners
Circ
le
Car
d nu
mbe
r
(if a
pplic
able
)
Co
mp
lete
sec
tio
ns
1, 2
, 3 a
nd
4 b
elo
w a
nd
mai
l to
A
DM
INIS
TRA
TIO
N, L
ock
ed B
ag 7
, Co
orp
aro
o D
C, Q
LD 4
151,
Au
stra
lia.
Fina
ncia
l Ins
titu
tion
Nam
e
Bran
ch A
ddre
ss
Acc
ount
Nam
e
NO
TE: A
ny
chan
ges
or
alte
rati
on
s in
clu
din
g w
hit
eou
t to
ban
k d
etai
ls m
ust
be
init
ialle
d b
y th
e cl
aim
ant.
I con
firm
tha
t I a
m n
ot
an
owne
r or
sta
ff m
embe
r of
a
Gol
den
Cas
ket
Out
let.
NO
TE: O
wne
rs o
r st
aff
mem
bers
of
a G
olde
n C
aske
t O
utle
t m
ust
refe
r to
Ret
aile
rs W
eb f
or
info
rmat
ion
on c
laim
ing
a pr
ize.
Plea
se in
dica
te y
our a
nswe
rs b
y m
arkin
g ch
eck
boxe
s with
a
.
Send completed Prize Claim Form to Golden Casket. Include ONLY ORIGINAL lottery ticket/s / Instant Scratch-Its ticket/s.
SGL
– Sa
turd
ay G
old
Lott
oO
z –
Oz
Lott
oM
WG
L –
Mon
day
& W
edne
sday
Gol
d Lo
tto
PBL
– Po
wer
ball
ISI –
Inst
ant S
crat
ch-It
sSF
L –
Set f
or L
ifeSP
L –
The
Pool
sS6
6 –
Supe
r 66
• To
the
bes
t o f
my
know
ledg
e an
d be
lief
all
of t
he i
nfor
mat
ion
in t
his
clai
m is
tru
e an
d co
rrec
t;•
I am
ove
r th
e ag
e of
18
year
s; a
nd•
I am
the
rig
htfu
l ow
ner
of t
he a
ttac
hed
lott
ery
or I
nsta
nt S
crat
ch-I
ts
tick
et/s
.
I her
eby
clai
m p
aym
ent
for
any
pri
zes
asso
ciat
ed w
ith
th
e at
tach
ed lo
tter
y ti
cket
/s o
r In
stan
t Sc
ratc
h-I
ts t
icke
t/s
and
I d
ecla
re t
hat
I un
der
stan
d t
hat
:•
it i
s an
off
ence
und
er t
he L
otte
ries
Act
199
7 to
alt
er o
r fo
rge
a lo
tter
y ti
cket
or
Inst
ant
Scra
tch-
Its
tick
et o
r ob
tain
a b
enefi
t as
a r
esul
t of
a d
isho
nest
act
.
Cla
iman
t Si
gnat
ure/
s
3. P
rize
Cla
im F
orm
Dec
lara
tion
– C
laim
ant’
s De
clar
atio
n
Paym
ent
Met
ho
d:
/
/
Dat
e A
utho
rise
dC
hequ
e N
o.
EFT
TIL
Che
que
– pr
ovid
e de
tails
bel
ow
Paym
ent
Aut
hori
sed
ByA
mou
nt
OFFICE USE ONLY
/
/
Dat
e C
laim
Rec
eive
d
Cla
im R
ecei
ved
ByC
laim
Ver
ified
By
No.
of
Lott
ery
Tick
ets
Rece
ived
No.
of
Inst
ant
Scra
tch-
Its R
ecei
ved
Oth
er
/
/
Dat
e Pr
oces
sed
Cla
im E
nter
ed B
yPr
oces
sed
By
Sign
atur
eSi
gnat
ure
Cla
im ID
Num
ber
Plea
se p
ho
toco
py
this
fo
rm a
nd
yo
ur
win
nin
g
lott
ery
or
Inst
ant
Scra
tch
-Its
tic
ket/
s fo
r yo
ur
per
son
al r
eco
rds
bef
ore
se
nd
ing
th
e o
rig
inal
ti
cket
/s a
nd
fo
rm t
o G
old
en C
aske
t.
Co
llect
ion
of
per
son
al in
form
atio
nTh
e pe
rson
al in
form
atio
n co
llect
ed f
rom
you
in t
his
docu
men
t is
sou
ght
by G
olde
n C
aske
t Lo
tter
y C
orpo
ratio
n Li
mite
d A
BN 2
7 07
8 78
5 44
9, a
mem
ber
of T
atts
Gro
up L
imite
d.
Gol
den
Cas
ket
may
req
uire
you
to
com
plet
e a
stat
utor
y de
clar
atio
n an
d co
llect
eno
ugh
pers
onal
info
rmat
ion
requ
ired
to p
rove
you
r id
entit
y un
der
the
Lott
erie
s Ru
le 2
010
(Qld
). T
he in
form
atio
n w
ill b
e us
ed t
o re
gist
er, v
erify
and
pay
you
r pr
ize.
We
may
not
be
able
to
proc
ess
your
cla
im u
nles
s yo
u pr
ovid
e th
is in
form
atio
n to
us.
You
r inf
orm
atio
n m
ay b
e di
sclo
sed
to th
ird p
artie
s in
clud
ing
your
and
our
fina
ncia
l ins
titut
ions
, our
sel
ling
outle
ts, o
ur c
ontr
acto
rs (s
uch
as IT
pro
vide
rs o
r m
ail s
ervi
ces)
, our
pro
fess
iona
l adv
isor
s, g
amin
g an
d ot
her
regu
lato
rs,
lega
l en
forc
emen
t ag
enci
es o
r as
req
uire
d by
law
. O
ur P
rivac
y Po
licy,
ava
ilabl
e at
ww
w.g
old
enca
sket
.co
m,
cont
ains
fur
ther
inf
orm
atio
n ab
out
how
you
may
acc
ess
and
seek
a c
orre
ctio
n of
you
r pe
rson
al
info
rmat
ion,
and
how
you
may
com
plai
n ab
out
priv
acy
rela
ted
mat
ters
and
how
you
r co
mpl
aint
will
be
deal
t w
ith.
For
priv
acy
rela
ted
quer
ies,
ple
ase
cont
act
131
868
or p
riva
cyo
ffice
r@ta
ttsg
rou
p.c
om
.
1. C
laim
ant D
etai
ls (p
leas
e pr
int
clea
rly)
Post
code
/
/
Cla
iman
t N
ame/
s
Add
ress
Dat
e
Day
tim
e Ph
one
No.
Emai
l Add
ress
TOTA
L$
Bran
ch (B
SB) N
o.A
ccou
nt N
o.
—
Plea
se p
rovi
de y
our
bank
det
ails
for
dire
ct d
epos
it of
you
r pr
ize
paym
ent:
2. P
aym
ent o
f Pri
ze C
laim
Inac
cura
te o
r in
com
plet
e ba
nk a
ccou
nt d
etai
ls m
ay le
ad t
o th
e pa
ymen
t be
ing
dela
yed
or r
ejec
ted
by y
our
finan
cial
inst
itut
ion.
In
the
eve
nt t
hat
the
fund
s tr
ansf
er is
rej
ecte
d, a
che
que
may
be
issu
ed in
lieu
.
SJP
– Lu
cky
Lott
erie
s Su
per J
ackp
otM
JP –
Luc
ky L
otte
ries
Meg
a Ja
ckpo
t
AU
GU
ST 2
015
JO2
– $2
Cas
ket