| Form Number |
Form Name |
| GC4-009g |
Additions, Changes, and / or
Deletions to Itinerary for License to Operate Amusement Games at Special
Locations |
| GC4-283 |
Affidavit for Completion of Officer Training -
(Replaced by GC4-250) |
GC4-250
 |
Affidavit for Completion of Training |
| GC5-003 |
Appendix A - Sole Proprietorship Requirements |
| GC5-004 |
Appendix B - Limited and General Partnership Requirements |
| GC5-005 |
Appendix C - Limited Liability Company (LLC) Requirements |
| GC5-006 |
Appendix D - Corporation Requirements |
| GC4-014
|
Application - Add A Card Room to an Existing Gambling License |
| GC4-015 |
Application - Agricultural Fairs to Operate Bingo, Raffles and/or
Amusement Games |
| GC4-168a
|
Application - Amusement Games - Class A Premises |
| GC4-168b
|
Application - Amusement Games - Class B and Above |
| GC4-055k
|
Application - Annual Renewal - Commercial Business |
| GC4-151
|
Application - Annual Renewal - Employee of a Commercial Business |
| GC4-124 |
Application - Annual Renewal - Non-Profit Gambling Manager |
| GC4-055
|
Application - Annual Renewal - Non-Profit Organization |
| GC4-014a |
Application - Card Room Tournament |
| GC4-279 |
Application - Commercial Gambling Manager |
| GC4-005
|
Application - Commercial Stimulant Business Packet |
| GC4-033
|
Application - Distributor of Authorized Gambling Paraphernalia/Supplies |
| GC4-016
|
Application - Duplicate License
or Permit |
| GC4-090
|
Application - Fund-Raising Event |
| GC4-325
|
Application - Game Endorsement Form for Changes to Previously Approved Proprietary Games |
| GC4-318 |
Application - Game Endorsement
Information form for New or Upgraded Electronic or Mechanical
Equipment/Software |
| GC4-090j |
Application - Joint Fund-Raising Event |
| GC4-090p |
Application - Joint Fund-Raising Event - Assisting Organization |
| GC4-007 |
Application - Linked Bingo Prize Provider Packet |
| GC4-011c
|
Application - LLC Ownership/Membership Change |
| GC4-002
|
Application - Manufacturer, Distributor, Service Supplier or Linked
Bingo Prize Provider Representatives |
| GC4-001 |
Application - Manufacturer of Gambling Equipment/Paraphernalia |
| GC4-303
|
Application - New Proprietary Game |
| GC4-117 |
Application - Non-Profit Gambling Manager
Please be sure to include a copy of your Positive
ID (valid driver's license) with this application |
| GC4-004ez
|
Application - Non-Profit Organization - EZ Form |
| GC4-006
|
Application - Non-Profit Organization - High Volume Packet |
| GC4-004
|
Application - Non-Profit Organization - Low Volume Packet |
| GC4-068
|
Application - Public Card Room Employee |
| GC4-027
|
Application - Punchboard/Pull Tab Service Business Packet |
| GC4-026
|
Application - Service Supplier Packet |
| GC4-011a
|
Application - Stock Ownership Change |
| GC4-011b
|
Application - Transfer |
| GC4-138
|
Application - Upgrade/Change of License Class |
| GC4-303a |
Attachment A - Persons who will Receive some Portion of any Marketing
Revenues |
| GC4-303b |
Attachment B - Location(s) Where the Game/Equipment is Manufactured |
| GC4-303c |
Attachment C - Location(s) Where the Game/Equipment is Stored |
| GC4-299 |
Authorization for Examination and Release of Information |
| GC4-324
|
Authorized Signatures |
| GC4-194
|
Card Room Employee - Transfer/Add Employer |
| GC4-160
|
Card Room Employee Upgrade |
| DOJ-361
|
Certification of Identity |
| GC4-011
|
Change - Name, Location, Management or Unlicensed Manager |
| GC4-177-abr
|
Class III Indian Gaming Employee Certification
(abbreviated version) |
| GC4-177 (original)
|
Class III Indian Gaming Employee Certification
(original version) |
| GC4-192
|
Class III Transfer/Add Employer |
| GC4-015-Rules |
Condensed Licensing Rules - Agricultural Fairs Licensed to
Operate Bingo, Raffles and/or Amusement Games |
| GC4-009a-Rules |
Condensed Licensing Rules - Bingo ONLY During and Upon the Site
of Agricultural Fairs |
| GC4-168-Rules |
Condensed Licensing Rules - Commercial Amusement Games |
| GC4-005-Rules |
Condensed Licensing Rules - Commercial Stimulant Business |
| GC4-033-Rules |
Condensed Licensing Rules - Distributor of Authorized Gambling
Paraphernalia/Supplies |
| GC4-090j-Rules |
Condensed Licensing Rules - Joint Fund-Raising Event |
| GC4-176-Rules |
Condensed Licensing Rules - Joint Raffles |
| GC4-007-Rules |
Condensed Licensing Rules - Linked Bingo Prize Provider |
| GC4-001-Rules |
Condensed Licensing Rules - Manufacturer of Gambling
Equipment/Paraphernalia |
| GC4-026-Rules |
Condensed Licensing Rules - Service Supplier |
| GC4-234-Rules |
Condensed Licensing Rules - Special Sales Permit for Manufacturer
of Gambling Equipment/Paraphernalia |
| GC4-315 |
Current Employees/Expected Employees |
| GC4-292 |
Deposit Slip |
| GC4-017
|
Disclosure of Corporate Officers/Stockholders |
| GC4-017b
|
Disclosure of LLC Members/Managers |
| GC4-017c
|
Disclosure of Partnership |
| GC5-011 |
Distributors, Service Suppliers, and their Representatives Orientation Information |
| GC5-226 |
Explanation - Two Part Payment Program |
| GC4-015a |
Fair Board Members |
| GC5-055-fs |
Fee Schedule - Bona Fide Charitable/Non-Profit Organization |
| GC5-055k-fs |
Fee Schedule - Commercial Stimulant/Profit Seeking Organization |
| GC5-138FS |
Fee Schedule -
Upgrade/Change
|
| GC4-320 |
Financial Statement |
| GC5-231 |
Fingerprint Card Instructions - Applicant |
| GC5-222 |
Fingerprint Card Instructions - Class III - Law Enforcement Agency |
| GC5-221 |
Fingerprint Card Instructions - Class III - Special Notice |
| GC5-232 |
Fingerprint Card Instructions - Law Enforcement Agency |
| |
Fingerprint Card Request Form |
| GC5-236 |
Fingerprint Card Sample |
| GC5-237 |
Fingerprinting Policy |
| GC4-009e
|
Full Season Itinerary for License to Operate Amusement Games at
Special Locations |
| GC4-009f |
Full Season Itinerary for License to Operate Bingo ONLY During and
Upon the Site of Licensed Agricultural Fairs |
| GC5-139 |
Gambling License Certification Program
Brochure |
| GC4-015b |
Gaming Associated Interests |
| GC5-014 |
House-Banked Card Room Application Process Letter |
| GC4-302 |
Institutional Investor
Certification Form |
| GC4-090a |
Joint Fund-Raising Event Agreement |
| GC4-175 |
Joint Raffle Agreement Form |
| GC4-176 |
Joint Raffle Information Sheet |
| GC5-144 |
License Class Structure Information |
| GC5-158 |
Mandatory Training Letter
All Organization Applicants need to use GC5-017 |
| GC4-012
|
Manufacturer, Distributor and
Service Supplier Representative Changing Employers |
| GC4-101 |
Oath/Signature of Applicant |
| GC4-314 |
Other Persons Having Interest in Premises or Gambling Equipment |
| GC4-009a |
Permit Application to Conduct ONLY During and Upon the Site of
Agricultural Fairs |
| GC4-010
|
Permit Application for Non-Profit Organizations to Conduct Bingo at
Agricultural Fairs ONLY |
| BLS-700-301 |
Personal/Criminal History Statement |
| GC4-179 |
Personal/Criminal History Statement - Class III Gaming Employee |
| GC4-322
|
Previous Year Refund Request |
| GC4-174
|
Recreational Gaming Activity Permit |
| GC4-321 |
Source of Funds Statement |
| GC5-001 |
Responsibility to Report (Card
Room Licensee Letter) |
| GC4-234 |
Special Sales Permit - Manufacturer of Gambling Equipment/Paraphernalia |
| GC4-243 |
Training Completion Affidavit -
(Replaced by GC4-250) |
| GC5-017 |
Training Requirements for All
Applicants Letter |
