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Win/Loss Request

Win/Loss Form

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

Download Win/Loss Form

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
    • Fax: 360.716.1798


For copies of your 2016 W-2G’s please click here to download your tax forms.
For copies of your 1042S, 1099, and prior year W-2G gaming tax forms, please call 360-716-1320.

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