Home > Forms > Applications > Vendor's License/Permit > Equipment Manufacturer

Applications


All forms are in Adobe PDF format.
The free Reader can be downloaded by clicking the icon below.
pdf
Follow Us on Twitter



Our Mission

Protect the Public by Ensuring that Gambling is Legal and Honest.

Our Vision

We will maintain public confidence by:
  • Conducting a fair and effective gambling regulatory and enforcement program
  • Investigating illegal activities
  • Building positive partnerships and relationships
  • Providing a workplace that allows employees to excel at their jobs
  • Anticipating and responding to the evolving gambling industry

Our Values

We Value Integrity, Professionalism, Respect and Diversity.



Report A Violation
Report A Violation



Access Washington
Access Washington

Doing Business in Washington
Doing Business in Washington

National Indian Gaming Commission
National Indian Gaming Commission

Governor's Office of Indian Affairs
Governor's Office of Indian Affairs

DSHS Problem Gambling Program
Underage Problem Gambling

Manufacturer of Gambling Equipment/Paraphernalia

fillable These forms can be filled-in online for saving or printing

Form Number Form Name
GC4-250 fillable 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
GC4-002 fillable Application - Manufacturer, Distributor, Service Supplier or Linked Bingo Prize Provider Representatives
GC4-001 Application - Manufacturer of Gambling Equipment/Paraphernalia
GC4-318 Application - Game Endorsement Information form for New or Upgraded Electronic or Mechanical Equipment/Software
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
GC4-001-Rules Condensed Licensing Rules - Manufacturer of Gambling Equipment/Paraphernalia
GC4-002-Rules Condensed Licensing Rules - Manufacturer, Distributor, Service Supplier or Linked Bingo Prize Provider Representatives
GC4-017 fillable Disclosure of Corporate Officers/Stockholders
GC4-017b fillable Disclosure of LLC Members/Managers
GC4-017c fillable Disclosure of Partnership
GC5-011 Distributors, Service Suppliers, and their Representatives Orientation Information
GC5-055k-fs Fee Schedule - Commercial Stimulant/Profit Seeking Organization
GC4-320 Financial Statement
GC5-139 Gambling License Certification Program Brochure
GC5-144 License Class Structure Information
GC5-158 Mandatory Training Letter - (Replaced by GC5-017)
BLS-700-301 Personal/Criminal History Statement
GC4-321 Source of Funds Statement
GC4-243 Training Completion Affidavit - (Replaced by GC4-250)
GC5-017 Training Requirements for All Applicants Letter