Win Loss Statement2023-01-03T10:52:50-07:00

2022 Win/Loss Statement & W-9 Form

A W-9 Tax Form must also be completed in addition to the Win/Loss Statement Request Form.

Click on the buttons below to download the PDF files.

2022 Win/Loss Statement Request Form
W-9 Tax Form

Mail originals to:

Shoshone-Bannock Casino Hotel
Attn:  Players Club: Win/Loss
P.O. Box 868
Fort Hall, ID 83203

Frequently Asked Questions
Players Club