Qvibe Win/Loss Request

Win/Loss Form

For questions or inquires related to win/loss statements please call our Tax Form Hotline:
For Copies of W-2G, 1042S, and 1099 Forms please call

Please note Quil Ceda Creek Casino will not mail out copies of tax forms for jackpots won. The copy you receive when you win the jackpot will be your only copy.

Download Win/Loss Form

Guest Win/Loss Request

A Qvibe card is the first step in establishing the kind of personal relationship that you would expect from Quil Ceda Creek Casino. With a Qvibe card you become one of our most valued guests. Guests that are Qvibe 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 Qvibe 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/Qvibe
      10200 Quil Ceda Blvd
      Tulalip WA 98271
    • Fax: 360.716.1798