Tax Request Form Page 1 of 3 Please complete all required fields! Request Information Today's Date(*) Invalid Input Requesting Type(*) <Select One >Specific Year(s)Specific Jackpot Date Invalid Input Requested Years(*) 201820192020202120222023 Invalid Input** Any years prior to 2018, please email This email address is being protected from spambots. You need JavaScript enabled to view it. Jackpot Date(*) Invalid Input Delivery(*) Physical MailPick Up At Reef Rewards Invalid Input You will receive a pick up date confirmation via email or phone when available for pickup. Next > Your Information First Name(*) Invalid Input. Must contain letters only. Last Name(*) Invalid Input. Must contain letters and numbers only. Date Of Birth(*) Invalid Input Last 4 of SSN or /ITIN(*) Invalid Input Reef Rewards Number(*) Invalid Input Phone(*) Invalid Input Email(*) Invalid Input Street Address(*) Invalid Input City(*) Invalid Input State or Territory(*) Invalid Input ZIP/Postal Code(*) Invalid Input Country(*) Invalid Input < PrevNext > Submission Verification Please note: any information not matching our records could delay or prevent the completion of your request. ReCAPTCHA(*) Invalid Input < PrevSUBMIT
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