Win/Loss Statement

As a service to Club members, we provide on online win/loss request form for tax purposes. To request a win/loss form:

1. Download and print the Win/Loss Request form.
2. Fill out the form.
3. Mail the completed form with proper postage to:

Par-A-Dice Hotel Casino
Attn: Pam Zych
21 Blackjack Blvd.
East Peoria, IL 61611-9935