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Wv racing commissionsupplement purse award claim form

Wv racing commissionsupplement purse award claim form 2025

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The document is a claim form for supplemental purse awards from the West Virginia Racing Commission, intended for breeders, owners, and sire owners. It outlines the submission process, required information, and consequences of falsification. Claims must be submitted within 15 days of the purse award, and there is an option to keep claim details private. The form also includes sections for verification and total due amounts.

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Click ‘Get Form’ to open the wv racing commissionsupplement purse award claim form in our platform.
Begin by entering the date at the top of the form. This is essential for tracking your claim submission.
Fill in your FEIN/SSAN, specifically the last four digits of your Tax ID number, ensuring accuracy for processing.
Clearly print your name and select whether you are claiming as a Breeder, Owner, or Sire Owner by checking the appropriate box.
Provide the name of the horse involved in the race along with the race date and race number to ensure proper identification.
Select the racetrack where the event took place by checking either Hollywood Casino or Mountaineer Park.
Decide if you want your claim's receipt and progress published on the WV Racing Commission website by checking or unchecking the box provided.
Sign and print your licensed stable name and address at the bottom of the form to validate your submission.

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