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01. Edit your empire city win loss statement online
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How to use or fill out empire city win loss statement with our platform
- Click ‘Get Form’ to open the Empire City Win/Loss Statement in the editor.
- Begin by entering your Name and Empire Card Account Number in the designated fields. Ensure that these details match your account information for accuracy.
- Fill in your Social Security Number and Date of Birth. This information is crucial for identity verification, so double-check for any errors.
- Provide your Mailing Address, including City, State, and Zip Code. This is where your Win/Loss Statement will be sent.
- Enter your Telephone number and Email Address for any follow-up communications regarding your request.
- Review all entered information for correctness. Once confirmed, sign in the designated area to certify that the information provided is true and correct.
- 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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