Tax Document Requests

Jackpot or Win/Loss Statement Requests

If you used your Signature Rewards card while gaming, you are eligible for a Win/Loss Statement. This statement can be used when filing taxes.

Request a copy of your jackpot statement.

Fill out the request form below online or select the printable form, fill it out, and mail it in or return it to the Signature Welcome Center with a valid identification card.

REQUEST FORM

Contact Info

info@swinomishcasino.com

1.888.288.8883

12885 Casino Drive
Anacortes, WA, 98221

DOWNLOAD FORM

Win/Loss & Jackpot Statement Request

Fill out this form to request your win/loss statement or a copy of your jackpot document(s). Swinomish Casino & Lodge must obtain a copy of your valid identification with this request form to release this information. Send this form via mail or email with a photo copy of your ID card.

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Requested Statements:*

Win/Loss Statement

Jackpot Statement

Select if you would like one or both statements.

Year(s) Requesting:*

Guest Name*

First Last

Signature Rewards Account Number

For Win/Loss Statements, you must have a player tracking account.

Contact Information*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

How would you like to receive your statement?

Please select one:*

Mail

Pick Up at Signature Welcome Center

Must send a copy of your valid identification to send via mail or email. A valid ID is required to pick up documents in person.

Preferred Method of Contact*

Request By:*

Send as soon as possible

Send after the end of the requested year

Provide a copy of your valid identification*

Drop files here or

Max. file size: 100 MB.