Win/Loss Statement Requests

Simply follow the instructions to download and complete the form provided.

A completed request form and copy of a valid government issued photo I.D. may be submitted for processing in one of the following ways:

     1.  In Person at the Cashier's Cage.

     2.  Mail to address:  

          Casino Queen, Inc.

          Attn: Win/Loss Requests

          200 S. Front Street

          East St. Louis, IL 62201

     3.  Email a copy to winloss@casinoqueen.com 

Please allow up to 4 weeks for processing. A valid, government issued photo I.D. must be submitted with a completed form. Any forms submitted without a copy of a valid, government issued photo I.D. will not be accepted.

Win/Loss Request Form