INDIANA GRAND RACING & CASINO WIN/LOSS 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.
If you or someone you know has a gambling problem, we urge you to contact any of these organizations for help:
Indiana Gaming Commission
Indiana Council On Problem Gambling
or visit their website at: www.gam-anon.org