Request Your W-2 W2G & WIN/LOSS Statement Request Reports RequestedW2GWIN/LOSSFor Income Tax year(Required) 2022 2021 Primary Name (as shown on your Players Card)(Required) First Last Players Card #(Required)Daytime Telephone #(Required)Date of Birth(Required) MM slash DD slash YYYY Your Email(Required) Driver's License #(Required)Last four digits of your Social Security Number (XXX-XX-____)(Required)Address(Required) Street Address City State / Province / Region ZIP / Postal Code Consent(Required) I understand that my win/loss statement will include estimated gaming win/loss information. The tracking system used in providing this information is based upon the use of your Players Club Card Information. Therefore, this statement will not reflect an accurate accounting record - it merely provides an estimate you can use to compare to your records.Consent(Required) I do hereby certify that the information contained above is true and correct, and I authorize Oak Grove Racing & Gaming to provide me a win/loss statement of tracked gaming activity for my Players Club account. I further understand that the information requested is generated from a player’s tracking system based upon Rewards Club account history and is not intended to be, or take place of, my own records of my gaming activity. Oak Grove Racing & Gaming makes no representation or warranty, express or implied, as to the accuracy of this information or its effectiveness as proof of winnings and losses.CAPTCHA BOOK HOTEL NOW
