Get Winloss Statement Request Form - Cahuilla Casino

This guide provides clear instructions on completing the Win/Loss Statement Request Form for Cahuilla Casino. By following these steps, users can easily navigate and fill out the form to obtain their gaming activity statement.

Follow the steps to accurately complete the form online.

1. Press the ‘Get Form’ button to access the Win/Loss Statement Request Form.
2. Begin by entering your first name in the designated field, followed by your last name in the next field.
3. Provide your date of birth in the format MM/DD/YYYY to verify your identity.
4. Fill in your street address, including any apartment or unit number if applicable, to ensure accurate mailing details.
5. Complete the city, state, and zip code fields to further confirm your residential address.
6. Input your phone number in the specified format to facilitate communication if necessary.
7. Offer your email address to receive updates regarding your request or any further correspondence.
8. Enter your Club Cahuilla card number in the provided space to identify your membership accurately.
9. Indicate the tax year you are requesting the statement for by entering the year in YYYY format.
10. Read the certification and release from liability section carefully, then ensure you sign and date the form to certify the information is accurate.
11. If submitting the form via mail, make sure to have the signature notarized and attach a copy of your government-issued photo ID before sending it to the address provided.

Complete the Win/Loss Statement Request Form online today to easily access your gaming activity statement.