Follow the steps to complete your Repco Casino Form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the date you are requesting the statement. Fill in the 'Date Requested' section with the appropriate date.
3. Indicate the year for which you want to request your Win/Loss statement. Complete the 'Requesting Year' field.
4. Provide your account number in the specified field labeled 'Account Number'.
5. Fill in your date of birth under the 'D.O.B' section to verify your identity.
6. Complete the 'Last Name' and 'First Name' fields with your legal name.
7. Provide your complete address, including street, city, state, and zip code.
8. Enter your phone number in the designated field to be reached if necessary.
9. Optionally, provide your fax number and email address if you wish to receive the statement electronically.
10. Read the statement about the limitations of the Win/Loss statement and the importance of keeping your gaming diary, as recommended by the IRS.
11. Acknowledge the confidentiality notice regarding your information.
12. Sign the form in the 'Player’s Signature' section to confirm your request.
13. For final actions, you can save your changes, download the form, print it, or share it, as needed.

Complete the Repco Casino Form online today to obtain your Win/Loss statement.