INDIANA LIVE! CASINO
WIN/LOSS STATEMENT
Please print and fill in the form with the required information.
- 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 Live! Casino at the Cashier Window and Live! Rewards Counter.
Choose from a compatible file format below (both forms are the same):
|
