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Tax Document Requests

Jackpot or Win/Loss Statement Requests

If you used your Signature Rewards card while gaming, you are eligible for a Win/Loss Statement. This statement can be used when filing taxes.

Request a copy of your jackpot statement.

Fill out the request form below online or select the printable form, fill it out, and mail it in or return it to the Signature Welcome Center with a valid identification card.


Contact Info



12885 Casino Drive
Anacortes, WA, 98221


2023 jackpots

Win/Loss & Jackpot Statement Request

Fill out this form to request your win/loss statement or a copy of your jackpot document(s). Swinomish Casino & Lodge must obtain a copy of your valid identification with this request form to release this information. Send this form via mail or email with a photo copy of your ID card.

"*" indicates required fields


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Requested Statements:*
Select if you would like one or both statements.
Guest Name*
For Win/Loss Statements, you must have a player tracking account.
Contact Information*

How would you like to receive your statement?

Please select one:*
Must send a copy of your valid identification to send via mail or email. A valid ID is required to pick up documents in person.
Request By:*
Drop files here or
Max. file size: 100 MB.