Get Ca Black Oak Casino Resort Win/loss Statement Request Form 2022-2026

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.