100% vh

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.

"*" indicates required fields

Hidden

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.
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.