Online Claim Form

Ticket
The Ticket Number should be exactly 18 digits using the numbers 0-9.
CA$
Online claims can be submitted for up to $5000.
Image (JPG, PNG, PDF, JPEG) of the front of the exchange ticket (signature field must be complete).
Image (JPG, PNG, PDF, JPEG) of the back of the exchange ticket (redemption form must be complete).
Identification
Image (JPG, PNG, PDF, JPEG) of one government issued photo identification: Driver's license, SGI issued identification card, Indian status card, firearms license identification, or passport.