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1. Click ‘Get Form’ to open the Win/Loss Statement Request in the editor.
2. Begin by filling in your personal information. Enter your First Name, Middle Name, Last Name, Date of Birth, Street Address, City, State, Zip Code, Phone Number, and Email Address in the designated fields.
3. In the section requesting your gaming activity statement for the year, write your name where indicated to certify that the information provided is accurate.
4. Sign and date the form at the bottom. Ensure that your signature is notarized and attach a copy of a valid Government-issued photo ID as required.
5. Choose how you would like to receive your Win/Loss Statement by filling in either your email address or fax number.
6. Once completed, submit the form via email to winloss@ncl.com, fax it to (305) 436 - 4105, or mail it to NCL Casino Win/Loss Statement Request at the provided address.

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