Mapquest usminnesotaSMSC Gaming Enterprise, 2400 Mystic Lake Blvd, Prior Lake, MN-2026

1. Click ‘Get Form’ to open it in the editor.
2. Enter today’s date in the designated field at the top of the form.
3. Fill in your Club M Account Number accurately to ensure proper identification.
4. Provide your primary name as shown on your Club Card. This is crucial for verification.
5. Input your Social Security Number and Driver’s License Number, ensuring they correspond with your Club account.
6. Enter your daytime telephone number in a 10-digit format for contact purposes.
7. Complete your primary address, including street address, apartment/unit number, city, state, and zip code.
8. Select the documents you are requesting: W2G Winnings or Win/Loss Statement.
9. Indicate the year(s) you are requesting documentation for in the provided space.
10. Choose a delivery method: Mail, Pick up at Mystic Lake Club M, Pick up at Little Six Club M, or Email. If selecting email, ensure it matches your account information.
11. Sign at the bottom of the form to verify that you are the primary account holder and understand the terms outlined.

Start using our platform today to easily fill out and submit your request for win/loss statements and W2G documentation!