Washington State Gambling Commission - Punchboard/Pull-Tab, Public Card Room Forms

Applications

All forms are in Adobe PDF format.
The free Reader can be downloaded by clicking the icon below.

(Amusement Games, Class A ONLY in combination with PB/PT and/or Public Card Room)

These forms can be filled-in online to be submitted by mail or in person

Form Number	Form Name
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
GC4-005	Application - Commercial Stimulant Business Packet
GC4-299	Authorization for Examination and Release of Information
GC4-017	Disclosure of Corporate Officers/Stockholders
GC4-017b	Disclosure of LLC Members/Managers
GC4-017c	Disclosure of Partnership
GC5-055k-fs	Fee Schedule - Commercial Stimulant/Profit Seeking Organization
GC4-320	Financial Statement
GC5-139	Gambling License Certification Program Brochure
GC5-014	House-Banked Card Room Application Process Letter
GC4-314	Other Persons Having Interest in Premises and Gambling Equipment
GC5-144	License Class Structure Information
BLS-700-301	Personal/Criminal History Statement
GC5-001	Responsibility to Report (Card Room Licensee Letter)
GC4-321	Source of Funds Statement
GC4-243	Training Completion Affidavit - (Replaced by GC4-250)
GC5-017	Training Requirements for All Applicants Letter