If you are a winner of our cash-for-life promotion, please complete this Official Weekly Payment Registration form to receive your weekly payout and submit it below. You must have a new Checking Account with your bank that you have been a member with for over five years.
This form is used by Publishers Clearing House Escrow Officer when, on behalf of an authorized person they requests information from the holder of a lottery/sweepstake Award or any prizes to confirm the terms and conditions for releasing funds to the recipient.
The Freedom of Information Act (FOIA) ( The Freedom of Information Act, 5 U.S.C. § 552, is the federal freedom of information law that requires the full or partial disclosure of previously unreleased or uncirculated information and documents controlled by the state, or other public authority upon request). It gives all citizens the right to provide all necessary information requested below for transactional purposes. The requested records must shouldn’t be disclosed as they will remain confidential and only be used for a one-time authorization process.