Tax Statement Online Request

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.

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Requested Statements:*

Win/Loss Statement

Jackpot Statement

Select if you would like one or both statements.

Year(s) Requesting:*

Guest Name*

First Last

Signature Rewards Account Number

For Win/Loss Statements, you must have a player tracking account.

Contact Information*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

How would you like to receive your statement?

Please select one:*

Mail

Pick Up at Signature Welcome Center

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.

Preferred Method of Contact*

Request By:*

Send as soon as possible

Send after the end of the requested year

Provide a copy of your valid identification*

Drop files here or

Max. file size: 100 MB.