{"id":99,"date":"2025-12-03T18:27:43","date_gmt":"2025-12-03T18:27:43","guid":{"rendered":"https:\/\/casinosalem.com\/?page_id=99"},"modified":"2025-12-03T18:28:30","modified_gmt":"2025-12-03T18:28:30","slug":"win-loss-w2g-requests","status":"publish","type":"page","link":"https:\/\/casinosalem.com\/?page_id=99","title":{"rendered":"Casino Salem Win\/Loss &amp; W2G Requests"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of 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      <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F99' data-formid='6' novalidate><div class='gf_invisible ginput_recaptchav3'  data-tabindex='0'><input id=\"input_d3bf8e676531d3dee6d214bb270ca779\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_d3bf8e676531d3dee6d214bb270ca779\" value=\"\"\/><\/div> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n                        <div class='gform-body gform_body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_6_17\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please Select the Document(s) You are Requesting<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_17'><div class='gchoice gchoice_6_17_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.1' type='checkbox'  value='Win\/Loss Statement'  id='choice_6_17_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_17_1' id='label_6_17_1' class='gform-field-label gform-field-label--type-inline'>Win\/Loss Statement<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_17_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.2' type='checkbox'  value='W2G'  id='choice_6_17_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_17_2' id='label_6_17_2' class='gform-field-label gform-field-label--type-inline'>W2G<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_18'>\n\t\t\t<div class='gchoice gchoice_6_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='2025'  id='choice_6_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_18_0' id='label_6_18_0' class='gform-field-label gform-field-label--type-inline'>2025<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_1'>Full Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_6_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_4'>Player&#039;s Card Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_6_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_19\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_19'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_19' id='input_6_19' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_6_9\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_9'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_9' id='input_6_9' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_3\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Mailing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_6_3' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_6_3_1_container' >\n                                        <input type='text' name='input_3.1' id='input_6_3_1' value=''    aria-required='true'    \/>\n                                        <label for='input_6_3_1' id='input_6_3_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_6_3_2_container' >\n                                        <input type='text' name='input_3.2' id='input_6_3_2' value=''     aria-required='false'   \/>\n                                        <label for='input_6_3_2' id='input_6_3_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_6_3_3_container' >\n                                    <input type='text' name='input_3.3' id='input_6_3_3' value=''    aria-required='true'    \/>\n                                    <label for='input_6_3_3' id='input_6_3_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_6_3_4_container' >\n                                        <select name='input_3.4' id='input_6_3_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_6_3_4' id='input_6_3_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_6_3_5_container' >\n                                    <input type='text' name='input_3.5' id='input_6_3_5' value=''    aria-required='true'    \/>\n                                    <label for='input_6_3_5' id='input_6_3_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_3.6' id='input_6_3_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_6_21\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_21'>Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_6_21' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_6_25\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 style=\"font-family: 'Public Sans', 'Helvetica Neue', sans-serif; font-size: 14px;\">\n  For questions regarding Win\/Loss or W2G requests, you can reach out to the following team members:\n<\/h2>\n\n<div style=\"display: flex; gap: 20px; width: 100%; font-family: 'Public Sans', 'Helvetica Neue', sans-serif; font-size: 14px;\">\n\n  <!-- Column 1 -->\n  <div style=\"flex: 1; border: 1px solid #ccc; padding: 12px; border-radius: 6px;\">\n    <h3 style=\"margin: 0 0 6px; font-family: 'Public Sans', 'Helvetica Neue', sans-serif; font-size: 14px;\">Susan Docos<\/h3>\n    <p style=\"margin: 0; font-family: 'Public Sans', 'Helvetica Neue', sans-serif; font-size: 14px;\">Revenue Audit Manager<\/p>\n    <p style=\"margin: 4px 0 0; font-family: 'Public Sans', 'Helvetica Neue', sans-serif; font-size: 14px;\">207-539-6780<\/p>\n  <\/div>\n\n  <!-- Column 2 -->\n  <div style=\"flex: 1; border: 1px solid #ccc; padding: 12px; border-radius: 6px;\">\n    <h3 style=\"margin: 0 0 6px; font-family: 'Public Sans', 'Helvetica Neue', sans-serif; font-size: 14px;\">Jon Cooke<\/h3>\n    <p style=\"margin: 0; font-family: 'Public Sans', 'Helvetica Neue', sans-serif; font-size: 14px;\">Revenue Audit Lead<\/p>\n    <p style=\"margin: 4px 0 0; font-family: 'Public Sans', 'Helvetica Neue', sans-serif; font-size: 14px;\">207-539-6785<\/p>\n  <\/div>\n\n  <!-- Column 3 -->\n  <div style=\"flex: 1; border: 1px solid #ccc; padding: 12px; border-radius: 6px;\">\n    <h3 style=\"margin: 0 0 6px; font-family: 'Public Sans', 'Helvetica Neue', sans-serif; font-size: 14px;\">Ryan O\u2019Leary<\/h3>\n    <p style=\"margin: 0; font-family: 'Public Sans', 'Helvetica Neue', sans-serif; font-size: 14px;\">Revenue Audit Clerk<\/p>\n    <p style=\"margin: 4px 0 0; font-family: 'Public Sans', 'Helvetica Neue', sans-serif; font-size: 14px;\">207-539-6759<\/p>\n  <\/div>\n\n<\/div>\n<\/div><fieldset id=\"field_6_22\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Acknowledgment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_22.1' id='input_6_22_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_6_22\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_6_22_1' ><\/label><input type='hidden' name='input_22.2' value='' class='gform_hidden' \/><input type='hidden' name='input_22.3' value='3' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_6_22' tabindex='0'>By submitting a request for either a Win\/Loss statement or W2G, you acknowledge that Casino Salem shall not be responsible if you do not receive the requested information. In the event that the information provided by you has changed or no longer matches the information on file, we may be unable to satisfy your request. Please contact Casino Salem if you need to change your information.<br \/>\n<br \/>\nWIN\/LOSS REQUEST<br \/>\nThis is not a tax document. By submitting this form you acknowledge and agree that you are requesting a Win\/Loss Statement that will include estimated gaming Win\/Loss information. The tracking system used in providing this information is based upon the terms and conditions and use of your Players Club card. Therefore, this statement will not reflect an accurate accounting record - it merely provides an unverified, estimate for comparison to your records. This is not a substitute for records required by you for applicable State or Federal tax laws.<br \/>\n<br \/>\nFurthermore, by submitting this form, you certify that the information inputted above is true and correct, and authorize Casino Salem to provide a Win\/Loss Statement of tracked gaming activity for your Players Club membership. You further understand that the information requested is generated from a guest's tracking system based upon Players Club account history and is not intended to be, or take placed of, your own records of your gaming activity. Casino Salem makes no representation or warranty, expressed or implied, as to the accuracy of this information or its effectiveness as proof of winnings and losses.<br \/>\n<br \/>\nW2G REQUEST<br \/>\nA request for W2Gs is a request for copies of all IRS form W-2G\/1099s issued to you. This is not a request for a complete accounting of your play. For additional information on the Form W-2G and its instructions, visit www.irs.gov\/FormW2G<\/div><\/fieldset><div id=\"field_6_26\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_26'>Email<\/label><div class='ginput_container'><input name='input_26' id='input_6_26' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_6_26'>This field is for validation purposes and should be left unchanged.<\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_6' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_6' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_6' id='gform_theme_6' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_6' id='gform_style_settings_6' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_6' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='6' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_6' value='WyJ7XCIxNy4xXCI6XCJlYzllMWQ3ZDZmM2ViNjMyNDQxY2Q0ZDU0Y2I3NGJmYVwiLFwiMTcuMlwiOlwiYmI0NDFiMmE4NWYyMzlkOTBmMDc5ZjQ2ODk1OGZjOGNcIixcIjE4XCI6W1wiOWM4NGQwMDkxZmMwYTJmMzNhZTgxMTA4NTBlM2QyNjFcIl0sXCIyMi4xXCI6XCI2MzA3ZmJiMDM5NDdjMzQwOWJmYmIxYmIyNzQ4ZjQzM1wiLFwiMjIuMlwiOlwiMzhmMDcxZjRkNGMyMDk4ZTk0NzhiNWU3MGMwM2VlYjNcIixcIjIyLjNcIjpcImRiMmFlNDlhMGE2YTAxN2ViZTFhNTdlZDBjZmJkYjY4XCJ9IiwiMzVkMjhmNjIzNDhkZGI0YTgxMDE2Y2I0MDRmYzg2MTkiXQ==' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_6' id='gform_target_page_number_6' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_6' id='gform_source_page_number_6' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 6, 'https:\/\/casinosalem.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery('#gform_ajax_frame_6').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_6');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_6').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_6').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_6').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_6').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_6').val();gformInitSpinner( 6, 'https:\/\/casinosalem.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery(document).trigger('gform_page_loaded', [6, current_page]);window['gf_submitting_6'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_6').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [6]);window['gf_submitting_6'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_6').text());}else{jQuery('#gform_6').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"6\", currentPage: \"current_page\", abort: function() { this.preventDefault(); 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