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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:



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