Win Loss Form

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Win Loss

To request your win/loss information from Arizona Charlie’s Boulder, please download and print your win/loss request form by clicking below (Adobe Acrobat is required).
  If you do not have Adobe Acrobat, you may download a free version by clicking here.  
Please install it prior to printing the win/loss request.

Download Win/Loss Request Form

When you have completed the request form, bring it to the ace | PLAY™ Center, or send it to our Las Vegas casino:

Arizona Charlie's Boulder Casino Hotel & RV Park
Attn: ace | PLAY
4575 Boulder Hwy.
Las Vegas, Nevada 89121

The form must be signed. We are unable to accept emailed requests. Your W2-G information will be mailed to the address on the request form.