Desert Diamond Casinos

TAX FORM REQUEST

COMPLETE THIS FORM TO REQUEST COPIES OF IRS W-2G, 1099 AND 1042. FORM MUST BE COMPLETED IN ITS ENTIRETY. IF INFORMATION IS MISSING, THE FORM WILL NOT BE PROCESSED. IF YOU ARE LOOKING FOR WIN/LOSS STATEMENTS, PLEASE VISIT THE INDIVIDUAL PROPERTIES AND GO TO DIAMOND REWARDS PAGE.

Please check which form you are requesting:

W-2G

1099

1042

Choose property or properties:

TUCSON

SAHUARITA

WEST VALLEY

WHY

ALL INFORMATION IS REQUIRED. IF YOU DO NOT FILL IN ALL AREAS, THE FORM WILL NOT SUBMIT.

DIAMOND REWARDS CARD #

NAME

First Name

Middle Name

Last Name

CURRENT ADDRESS

Address 1

City

ZIP / Postal Code

State / Province

Country

TELEPHONE/MOBILE NUMBER

EMAIL ADDRESS

Email address required to send documentation. If you do not provide an email address, we will not be able to process your request.

IMPORTANT: Please allow up to 10 business days to process. Desert Diamond Casinos will not be held responsible for misdirected tax forms. The form must be completed in its entirety.

If you are a California resident, please contact us directly. Do not complete this form.

With providing your information, you release Desert Diamond Casinos from all liability. Tax information cannot and will not be released to anyone other than to the original winner stated on the IRS tax forms.