Win/Loss Statement Request Form

To obtain a statement of your gaming activity, please fill out the form below and attach a scan or photo of your valid photo ID and hit submit. You may also print and fill out the official request form and mail it along with a photocopy of your ID to the address below.

Win Loss Request Form

First Name*
Last Name*
Saratoga Club Account #*
Address
Address Line 1 Address Line 2 City State ZIP/Postal Code Country
Phone Including Area Code*
Email*
Tax Year Requested*
Upload Your Valid Photo ID*
Max. file size: 50 MB.
Statements can be picked up in person at the Saratoga Club, e-mailed to you, or mailed to your home. Mailed and e-mailed requests will be sent to the address on file at the Saratoga Club.*
Statements can be picked up in person at the Saratoga Club, e-mailed to you, or mailed to your home. Mailed and e-mailed requests will be sent to the address on file at the Saratoga Club.
- Please mail my statement.
- Please email my statement.
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PLEASE NOTE: Photo or scan of your valid photo ID is required to process Win/Loss Statement form requests. To protect the privacy of our players, we will not process requests without an attachment of a photo ID.

To mail your request Win/Loss Statement form please send to:

Saratoga Casino Hotel
Attention Saratoga Club, P.O. Box 356
342 Jefferson Street
Saratoga Springs, NY 12866.

Saratoga Casino Hotel | Saratoga Springs, New York

Win/Loss Statement Request Form

Win Loss Request Form

RESPONSIBLE GAMING STATEMENT

LOTTERY STATEMENT

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