All requests must be sent to Choctaw Nation of Oklahoma Finance Department Attn Stacey Workman P. Box Apartment Number City State Telephone Zip E-Mail if applicable Please provide me with a statement of my activity for the tax year s The following document s Please Check Win/Loss Statement W2G 1099 s can be requested after February 1st for the previous tax year. Please Return form to Choctaw Casino Attention Cage Accounting 3400 Choctaw Rd Pocola Ok 74902 Phone 91 Fax 91 Win/Loss or Tax Information Request Form Name / Players Club Card Last Name First Name Social Security Number Date of Birth Month Mailing Address Day Year Street Address or P.