Empire city win loss statement 2026

1. Click ‘Get Form’ to open the Empire City Win/Loss Statement in the editor.
2. Begin by entering your Name and Empire Card Account Number in the designated fields. Ensure that these details match your account information for accuracy.
3. Fill in your Social Security Number and Date of Birth. This information is crucial for identity verification, so double-check for any errors.
4. Provide your Mailing Address, including City, State, and Zip Code. This is where your Win/Loss Statement will be sent.
5. Enter your Telephone number and Email Address for any follow-up communications regarding your request.
6. Review all entered information for correctness. Once confirmed, sign in the designated area to certify that the information provided is true and correct.
7. Finally, indicate the Date of signing before submitting the form at the Empire City Promotions Booth or through other listed methods.

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