When a ticket issuing machine does not produce a paper ticket due to a mechanical failure, the mutuel manager may validate the wager through totalisator logs. If the transaction is a winning wager and the mutuel manager pays the patron, then the mutuel manager shall report the transaction to the Commission within 24 hours on a form prescribed by the association and approved by the executive secretary. The form must contain, at the minimum, the following:(1) Association name;(2) Date and time of the machine failure;(3) Terminal number;(4) Bet description to include:(A) racetrack;(B) race number;(C) animal number;(D) bet type;(E) amount wagered;(F) total ticket cost;(G) winning amount; and(H) ticket serial number;(5) Patron's name and phone number;(6) Signature of the patron;(7) Description of the incident;(8) Date and time of the report; and(9) Signature of the mutuel manager.