Slot Machine Hand Pay and Jackpot Verification Log

Log for documenting hand-paid slot jackpots, witness verification, taxable threshold review, and progressive jackpot confirmation.

Submission and Event Details

• Submission Date
• Submission Time
• Property / Venue Name
• Event Type
• Event Notes
  Brief operational notes only. Do not include unnecessary PII.

Machine and Payout Information

• Machine Number / Asset ID
• Machine Location
• Game Title
• Payout Amount
• Currency
• Jackpot Type

Verification and Witness Confirmation

• Verification Method
• Was a witness present?
• Witness Role
• Witness Name or Employee ID
  Use employee ID if your site avoids collecting full names in operational logs.
• Verification Result

Taxable Threshold and W-2G Review

• Taxable threshold reviewed?
• Is W-2G reporting required?
• Reporting Basis
• Tax Follow-Up Notes
  Record only the operational follow-up needed for reporting or review.

Progressive Jackpot Confirmation

• Progressive meter verified?
• Displayed Progressive Amount
• Progressive Confirmation Source
• Was any discrepancy identified?

Review, Consent, and Audit Trail

• I confirm this record is complete and accurate to the best of my knowledge.
• Compliance acknowledgment
  I understand this log may be retained for audit trail, internal controls, and regulatory review.
• Submitter Role
• Submitter Employee ID
  Use an employee ID rather than a full name where possible to minimize PII.