Please print and fill in the form with the required information.

Newport Grand requires patrons to complete a Win Loss Form before the information may be released. You may also visit the Rewards Desk in person to obtain and fill out this form.

Please mail the original request to:

Newport Grand Casino
Attn: Marketing Dept. (Win/Loss)
150 Admiral Kalbfus Road
Newport, RI 02840

Please present this request to Newport Grand Casino Rewards Desk (Front Lobby) with current and valid identification.
If this request is not presented in person, request must be notarized.
Incomplete request will be delayed pending missing information or rejected.
Newport Grand will mail the requested statement within two weeks of receipt.

Thank you.