WIN/LOSS Statement Image

WIN/LOSS Statement

In order for Fitzgeralds to release information regarding your tracked play, you must complete and submit a signed Win-Loss Request Form. To download the Request Form from our site, you must have Adobe Acrobat Reader.

Download Win/Loss form here (PDF).

Or follow this link to fill out the online request. 

Once your request form is complete, bring it to Fitzgeralds on your next visit and drop it off at Player Rewards / Main Cashier. You can also mail or fax it to the following address:

Fitzgeralds Casino Black Hawk
P.O. Box 427
Black Hawk, CO 80422-0427
Fax: (303)582-6170 Attn: Marketing