Request Forms

To request a W-2G or a Win/Loss Statement, please download and fill out the respective form below. Please mail your completed form to:

Golden Pony Casino, Attn: Compliance Dept. 109095 N. 3830 Road, Okemah, OK 74895.

OR you may email your completed form to: hhegland@goldenponycasino.com.

*NOTE: You must provide a copy of your photo ID with the submission of a request form.