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):

  • 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.
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