V Club » Win Loss Statement Request
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Viejas Casino does not guarantee the accuracy of these reports. The following gaming winnings or losses may or may not be included on your win/loss statement: Tournaments, Giveaways, Bingo, Table games, and other miscellaneous play not recorded by your V-Club card.

The casino does not fax or email the tax information due to confidentiality issues.

Your request will be processed in 7 to 10 business days from submittal.

Please complete the following information:

Full Name:

V-Club Account Number:

Address:

City:

State:

Zip Code

Phone Number (xxx-xxx-xxxx):

Email Address:

Driver's License Number

Information Requested:

	Win/Loss Statement	Tax Year:
	W2G Form	Tax Year:
	1099 Form	Tax Year:
	1042S Form	Tax Year:

Please complete the following information:

Information Requested:

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