Win/Loss Statement

Viejas Win/Loss Statement Request Form

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
myViejas #
Email
Phone
Date of Birth*
MM slash DD slash YYYY
Last 4 SSN #
Country Identification Issued
State Identification Issued
Identification #*
Identification Expiration
Mail Preference
Win/Loss Statement
- 2022
- 2021
- 2020
Tax Forms
- 2022
- 2021
- 2020
Terms*
- I declare under the penalty of perjury that I am the person about whom I am requesting records. I understand that any falsification of this statement may be punishable under the laws of the Viejas Band of Kumeyaay Indians and/or the United States.
Comments
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Available 24 Hours a day:
619-445-5400

5000 Willows Road
Alpine, CA 91901 | Map it

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Guests must be at least 21 years of age to enter the casino, hotels, and dining venues.

Guests must be at least 21 years of age to drink alcoholic beverages. Guests must be at least 18 years of age to enter Viejas Bingo & Slot Parlor. Families are welcome at the Viejas Outlets.

Guests are not permitted to bring any outside alcohol to the property. Security may inspect personal belongings and will dispose of any containers holding alcoholic beverages.

Please play responsibly. For help with problem gambling, call 800.426.2537