Claim Forms

Winners Claim Form Instructions
Licence No.: RAF1232080

You must complete the following:

PRIZE NUMBER:

DRAW NUMBER:                                                         DATE OF DRAW:

I HEREBY SUBMIT MY PRIZE-WINNING NUMBER:

Full name of prize winner:

Address:

Prize Amount

Contact Number:

Driver’s Licence:

Certified Photo:

Make and retain a copy of the ticket

 

The Huntsville Hospital Auxiliary is only able to pay your prize money to you, the prize winner. You are not able to assign the prize to be received by someone else. You will be required to provide valid government-issued photo identification, take part in an interview, and fill out the "Release of Prize Claim Form".

After your Huntsville Hospital Auxiliary 50/50 ticket expires, you will not be able to claim a prize.  50/50 online lottery tickets expire 6 months after the draw date shown on the ticket.

A note on taxes: generally, lottery winnings are not taxed by the Canadian government as part of your income.

 

Claim by Mail

To claim your winnings by mail, you need to send the following to Huntsville Hospital Auxiliary:

You will be required to provide valid government-issued photo identification, take part in an interview, and fill out the "Release of Prize Claim Form".

When you're ready to mail your claim, send it to:

Huntsville District Memorial Hospital Auxiliary
100 Frank Miller Drive
Huntsville, Ontario
P1H 1H7

Your claim will be processed in approximately 30 days from the day of Huntsville Hospital Auxiliary receiving it. If any items are missing or unfinished, Huntsville Hospital Auxiliary will contact you directly, and this may result in processing being delayed.

Huntsville Hospital Auxiliary will mail your cheque by regular mail.

 

Claim in Person (large prize winnings)

Where the prize money is substantial, the winner has the option to claim their prize in person by arranging an appointment to meet for the giving of the cheque.

You will be required to provide valid government-issued photo identification, take part in an interview, and fill out the "Release of Prize Claim Form".

 

Publication of Winner Information

After your claim is approved, you will be interviewed by the Huntsville Hospital Auxiliary to tell the story of your win. The Huntsville Hospital Auxiliary publishes information on wins of $5,000 and above in a press release and on its website for 30 days. The details include the winner's name, city, and prize amount (for single and group winners).

 

TO CLAIM YOUR PRIZE, PLEASE INCLUDE THE FOLLOWING:

1. a copy of YOUR ORIGINAL, TICKET

Keep a photocopy of your ticket.

 

2. IDENTIFICATION

A legible photocopy (front and back) of one piece of valid government-issued identification with date of birth. Please do not submit originals.

WHAT TYPES OF ID ARE ACCEPTABLE FOR LOTTERY PRIZE CLAIMS?

Valid government issued identification with date of birth.

The following are acceptable:

  • Provincial/Territorial/State Driver's Licence
  • Birth Certificate
  • Certificate of Canadian Citizenship
  • Ontario Photo Card
  • Government-issued Employee Identification Card (must include photograph and date of birth).
  • Passport - Canadian or other country
  • Old Age Security (OAS) Identification Card
  • Certificate of Indian Status
  • Firearms Possession and Acquisition Licence (PAL)
  • Permanent Resident Card Canada
  • Permanent Resident Card US
  • U.S. State ID
  • Military ID
  • Nexus Card 

Wins less than $5,000 require one piece of valid ID from the above list.

Wins $5,000 and over require two pieces of valid ID, one of which must include a photo of the claimant and date of birth. The second piece of ID may include any from the above list or:

  • Major credit card
  • Bank card (pre-printed with your name)
  • BYID (age of majority card)

 

All information will be emailed to hhauxiliary5050@gmail.com or mailed to:
Huntsville District Memorial Hospital Auxiliary
100 Frank Miller Drive
Huntsville, Ontario
P1H 1H7