INDIANA GRAND RACING & CASINO WIN/LOSS & W2G STATEMENT
Please print and fill in the form with the required information.
Choose from a compatible file format below (both forms are the same):
- Download the IGRC Win/Loss & W2G document in PDF form
- Download the IGRC Win/Loss & W2G document in DOC form
- Players must present the completed form with current and valid identification to the Cashier.
- Forms will be processed and the Win/Loss Statement will be mailed to the provided address.
- Forms are also available at Indiana Grand Racing & Casino at the Cashier Window and Rewards Club.