19400 Tuolumne Road North, Tuolumne, CA 95379 Main: 1.877.747.8777 Players Club 209.928.9412 Fax 209.928.9301WIN/LOSS STATEMENT REQUEST FORM I am requesting a copy of the win/loss activity from.

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How to fill out the CA Black Oak Casino Resort Win/Loss Statement Request Form online

Filling out the CA Black Oak Casino Resort Win/Loss Statement Request Form is a straightforward process that allows users to request their gaming activity records. This guide will provide you with step-by-step instructions to complete the form efficiently and accurately.

Follow the steps to fill out the form correctly.

  1. Click the ‘Get Form’ button to obtain the form and open it in the designated editor.
  2. Select the tax year for which you are requesting the win/loss activity by circling the appropriate year from the options provided (2023, 2022, 2021, etc.).
  3. Input your contact information, including your full name, Players Club card number, date of birth, mailing address, city, state, ZIP code, and email address.
  4. Choose the method of delivery by checking either 'Mail' or 'Email' to specify how you would like to receive your win/loss statement.
  5. Read the certification statement carefully. By signing the form, you are certifying that the information you provided is accurate and you authorize Black Oak Casino Resort to share your gaming activity records.
  6. Sign and date the form where indicated to complete your request.
  7. After completing the form, you may save changes, download, print, or share it as needed.

Complete your request online today to receive your win/loss statement.

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When was Black Oak built?

The Tribe joined the approximately 60 other California gaming tribes with the opening of Black Oak on May 15, 2001.

Located in Tuolumne, CA in the scenic Sierra Nevada foothills, Black Oak Resort is owned and operated by The Tuolumne Band of Me-Wuk Indians.

Ron Patel - Chief Executive Officer - Black Oak Resort | LinkedIn.

Black Oak Resort is owned by Tuolumne Band of Me-Wuk Indians and Tuolumne Economic Development Authority, Inc..

A Win/Loss statement is a report that provides an estimated play (amount of money that is won and loss) for the calendar year based when a Players Club card is properly inserted into the gaming device during play.

Black Oak Resort corporate office is located in 19400 Tuolumne Rd N Fl 3, Tuolumne, California, 95379, United States and has 371 employees.

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