Lottery Annuity Payment Schedule Request Form
Share your request for information or assistance with a lottery annuity payment schedule.
Full name
*
First Name
Last Name
Email address
*
example@example.com
Phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Lottery name and jurisdiction
*
Claim or draw date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Non-sensitive claim reference
Current schedule status
*
I have an existing schedule
I am awaiting my first payment
I am not sure
Request type
*
Request a payment schedule
Ask about an existing schedule
Ask about a schedule change
Desired payment frequency
*
Annual
Other
Not sure
Request details
*
Submit Request
Should be Empty: