The Federal Privacy Act (Public Law 93-579), 5 U.S.C. §552a requires that this notice be provided when personal information is collected from individuals.
The Player information requested on this form will be used to validate and process your claim in accordance with the New Jersey State Lottery Law and the regulations adopted thereunder (N.J.S.A. §5:9, et seq. and N.J.A.C. 17:20, et seq.). The Lottery requires a player’s social security or tax identification number for tax withholding and reporting purposes, pursuant to Internal Revenue Code sections 6011, 6041, 6109, 3402, and the regulations enacted thereunder. Further, the Lottery will provide information other than your social security number to certain State Agencies pursuant to N.J.S.A.§ 5:9-13.1, N.J.A.C. 17: 42 & 17:43. Providing your social security number to these agencies will speed Lottery’s ability to process and validate your claim. By initializing Box 8 on the form, you voluntary consent to Lottery providing your social security number to the additional state agencies named above.
Purpose and Relevancy of Information Collected: Information is collected to validate and process a claim and for purposes of sales, marketing, research, security investigation, legal review, surveys, and strategic planning as related to the operations of the Lottery. By submitting this claim, as set forth above, you consent and agree to such use, and waive claims whether known now or in the future related thereto. The New Jersey Lottery is subject to public disclosure laws that allow access to certain governmental records. In accordance with the New Jersey Open Public Records Act (N.J.S.A. 47:1A-1 et seq. and N.J.A.C. 17:20-7.7). Once a prize has been validated, the following facts are public information and may be subject to disclosure. Winner Name, Town, and County of individual or group; Game in which prize was won; Date of game drawing; Date prize was claimed; Amount of prize won; Address, City, County of the New Jersey Retailer which sold the winning ticket. The Lottery will not disclose any other personal or identifying information without your permission unless legally mandated to do so.
Tickets, transactions, claims and prize payments are subject to federal and state law and New Jersey Lottery regulations, policies and procedures. Copies of regulations are available at Lottery Offices and on our website at www.njlottery.com.
The Player information you provide, including your social security number, may be disclosed to various state and federal government agencies, including but not limited to: the Internal Revenue Service and the Division of Revenue and Enterprise Services, and pursuant to the following federal and state authority: 42 U.S.C. 405(c)(2)(c), 26 C.F.R. 31.3042(q)-1(e), N.J.S.A. 54:50-9(f), and N.J.A.C. 17:20-7.1; and http://www.njlottery.com.