Win/Loss Request Win/Loss Statements Name First Middle Last Address Street Address City State / Province / Region ZIP / Postal Code Date of Birth MM slash DD slash YYYY Email Document(s) Needed 2023 HHR Win/Loss Statement 2023 W2G Copies 2022 HHR Win/Loss Statement 2022 W2G Copies Method of Delivery- None -I'll Pick Them Up at the Player's ClubIf you wish to pick up your forms at Ellis Park's Player's Club, you may call and/or leave a message for our Sales Manager at (812) 435-8918.CAPTCHA
