At the heart of tracking one’s gambling activities in Michigan, particularly at the Grand Traverse Resort and Casinos, lies the Michigan Win/Loss Statement form, a crucial document for those who are diligent about managing their finances and gaming experiences. This form allows members of the Player’s Club Card to request an official statement detailing their wins and losses over a specified period. To safeguard the integrity of this process, each customer must submit a signed request, with the flexibility for married couples to utilize a single form. It's important to note that the casino only tracks the play linked to a player’s card account, highlighting the importance of consistent usage for accurate tracking. The detailed information required for this request includes personal identification and contact details, underscoring the casino's commitment to privacy and security. Furthermore, by signing the form, patrons release the Grand Traverse Resort and Casinos from any liability related to the release of this information, acknowledging the limitations of the data provided, which is dependent on the player's card being used during play. This form not only serves as a tool for personal financial management but also reflects the collaborative effort between the casino and its patrons to ensure transparency and accountability in gaming activities.
| Question | Answer |
|---|---|
| Form Name | Michigan Win Loss Statement Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | detroit mi win loss statement, mlife win loss statement 2019, mgm grand detroit win loss statement, mi win loss statement |
Win Loss Statement Request
In order for Grand Traverse Resort and Casinos to release this information each customer is required to submit a signed request. Husband and Wife may use one form. The win loss statements are only available for Player’s Club Card members. Grand Traverse Resort and Casinos does not track play that is not associated with a customers player’s card account
Please provide me with a Win/Loss Statement for Year (s) _________
Name _________________________________________________ |
Player’s Card Number: _______________________ |
SS# ___________________________________________________ |
Date of Birth: _______________________________ |
Mailing Address ______________________________________________________________________________________
City/State/Zip: ________________________________________________________________________________________
Phone Number (___) _______________________ Email statement to __________________________________________
By signing below the patron hereby releases Grand Traverse Resort and Casinos, its officers, directors, employees, agents from and against any loss, cost, expense (including attorney’s fees and costs, damages, liability or clams of any kind. Additionally, patron hereby agrees to indemnify Grand Traverse Resort and Casinos for, from and against any loss, cost, expense (including attorney’s fees and costs), damages, liability or claims of any kind related to releasing this information. The undersigned acknowledges that the information being provided is based on player tracking information which includes only the play when the undersigned’s players card was connected to the system, and may not accurately reflect the amount of the undersigned’s play since the undersigned can play when the card is not connected to the system and is derived from a system that does not verify the identity of the person using the player card and may include estimated amounts to correct human error in inputting information.
Account Holder’s Signature ______________________________ Date____________________
***********************************************************************************************
Please provide me with a Win/Loss Statement for Year (s) _________
Name _________________________________________________ |
Player’s Card Number: _______________________ |
SS# ___________________________________________________ |
Date of Birth: _______________________________ |
Mailing Address ______________________________________________________________________________________
City/State/Zip: ________________________________________________________________________________________
Phone Number (___) _______________________ Email statement to ___________________________________________
By signing below the patron hereby releases Grand Traverse Resort and Casinos, its officers, directors, employees, agents from and against any loss, cost, expense (including attorney’s fees and costs, damages, liability or clams of any kind. Additionally, patron hereby agrees to indemnify Grand Traverse Resort and Casinos for, from and against any loss, cost, expense (including attorney’s fees and costs), damages, liability or claims of any kind related to releasing this information. The undersigned acknowledges that the information being provided is based on player tracking information which includes only the play when the undersigned’s players card was connected to the system, and may not accurately reflect the amount of the undersigned’s play since the undersigned can play when the card is not connected to the system and is derived from a system that does not verify the identity of the person using the player card and may include estimated amounts to correct human error in inputting information.
Account Holder’s Signature ______________________________ |
Date____________________ |
Only complete official request forms will be accepted for processing. (Must include a copy of Driver’s License OR enter your social security number for verification purposes or request (s) will not be processed). Statements will be processed after the first of the New Year unless specifically requested. Return form via mail, email or drop off at either Casino.
Grand Traverse Resort and Casinos |
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Attn: Shirley Shananaquet, CMP Administrator |
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7741 |
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Office |
email: Shirley.Shananaquet@gtbindians.com |