WIN/LOSS STATEMENT REQUEST - Quil Ceda Creek Casino 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the 'Year(s)' field, specifying the year for which you want your win/loss statement.
3. Enter your full name in the designated section to ensure accurate identification.
4. Provide your date of birth in the format mm/dd/yyyy to verify your identity.
5. Input your ONE Club number if you have it; this helps link your request to your player account.
6. Complete your mailing address, including city, state, and zip code, ensuring that it is current.
7. Select how you would like to receive your statement by checking one of the options provided.
8. Sign and date the form at the bottom to authorize the release of information.
9. Attach a copy of your current state ID or driver's license as required for processing.
10. Submit the completed form via mail or fax as indicated in the instructions.

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