By simply filling out the following form, we are able to verify your details and eliminate any fraudulent activities, which opens the door to a whole host of extra player privileges. Please fill out the form below, click the print button, sign, then email scanned copies to faxback@blackdiamondcasino.net or fax to + 1-800-299-2110
(USA) or +44(0)20 3128 7588 (International). Be sure to include scanned copies of your identification, credit card used (front and back) if applicable and a copy of your recent utility bill. This information is used to ensure payment goes to the proper recipient and to prevent fraud.

I certify that the electronic media record of my transaction held by BlackDaimond Casino shall be used as the final determination to resolve any dispute I may have. I clearly understand it is my sole responsibility, if applicable, to report my financial information to my respective Government, Customs, or Tax jurisdiction. I acknowledge that I have read all the information contained in the BlackDaimond Casino license and agree to follow by all the rules, terms, conditions, and agreements therein and as amended from time to time.

Please complete one form for each credit card you have used (i.e., multiple forms), fax and e-mail to faxback@blackdiamondcasino.net