Win/Loss Request

Win/Loss Form

For questions or inquires related to win/loss statements please call our Tax Form Hotline:
360-716-1829

Guest Win/Loss Request

A ONE club card is the first step in establishing the kind of personal relationship that you would expect from Quil Ceda Creek Casino. With a ONE club card you become one of our most valued guests. Guests that are ONE club members are eligible to receive a win/loss statement by mail. Please click on the PDF link located in the Win/Loss Form above and print out the attached document.

1. Please complete all sections of the form:
   • Year ending, (the year you want your statement to cover).
   • Print your full name.
   • Birth date mm/dd/yyyy.
   • Your ONE club number, if known.
   • Your complete address.
   • Check how you would like to receive your Win/Loss letter.
   • Your signature.
2. Enclose a copy of your current state identification card or drivers license. We will not be able to process your request without this.
3. Return completed form to:
   • Quil Ceda Creek Casino/ONE club
     10200 Quil Ceda Blvd
     Tulalip WA 98271
           –OR–
   • Fax: 360.716.1798

TAX FORMS

• Please note Quil Ceda Creek Casino will not mail out copies of tax forms for jackpots won.