MILLION DOLLAR REPLAY OFFICIAL PRIZE CLAIM FORM
Please complete this form and mail back with the actual tickets that made
up your winning entry in the Million Dollar Replay Semi-Finalist Drawing.
FULL NAME:
_____________________________________________
ADDRESS:
_____________________________________________
_____________________________________________
(CITY, STATE, ZIP)
PHONE:
__________________
__________________
(DAYTIME)
EMAIL:
(MOBILE)
_____________________________________________
To be validated as a 6HPL)LQDOLVW in a Million Dollar Replay drawing,
players must retain their non‐winning ticket entries as proof of eligibility and
provide tickets within thirty (30) calendar days of the semi‐finalist drawing
date indicated on the Million Dollar Replay website. If a winner is unable to
produce the tickets with the numbers from the selected entries within the
thirty (30) day time limit, the prize will be awarded to an alternate selected
entrant, according to the Lottery’s established drawing procedures. To
claim your Million Dollar Replay prize, you must provide the actual tickets
that made up your winning entry
Mail the actual tickets along with the Official Prize Claim Form.
NJ
Lottery Million Dollar Replay Drawing
P.O. Box 018
Trenton, NJ 08625‐0018
The Lottery recommends (but does not require) that prizewinning
entry tickets be sent by certified or registered mail to ensure
delivery. The Lottery is not responsible for lost mail.