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Applications & Forms

Video Gaming Location License Application & Forms

Video Gaming Location License Web Application

For help with the Location License Web Application, see the Location Application FAQs

Request to Withdraw an Application/Surrender a License

Truck Stop Affidavit

Truck Stop and Large Truck Stop Affidavit

The completed affidavit must be emailed via our Online Inquiry Form at the time the application is submitted. Once directed to this page, you will select Truck Stop Affidavit Applications in the first drop down menu labeled Category.  Please retain the original document to be presented to the agent at the site inspection.

U.S. Gambling Devices Act of 1962 Forms & Materials

Forms and materials pertaining to the U.S. Gambling Devices Act Of 1962 can be found at the U.S. Department of Justice. For your convenience, you may also access the information via the below links:

Request for Registration*

Tips on Completing a Registration Request

Frequently Asked Questions

Gambling Devices Act of 1962 Information Sheet

*NOTE: Adobe Acrobat Reader for Windows or Mac is required to use this form. Mobile devices or tablets are not supported. Depending on your computer's configuration, the form may not open within your browser.  If the form does not open within your browser it will direct you to a webpage with a Please Wait message. Once directed here, you will then need to save the file (select the flopping disc icon to the right of the menu bar) to your desktop and then open the file with Adobe Acrobat (right click the document on your desktop and click Open with Adobe Acrobat). 

Technician / Terminal Handler Application

Manufacturer / Distributor / Supplier / Terminal Operator Applications & Forms

Applications

IMPORTANT UPDATE:  Applicants are no longer required to mail applications to the Illinois Gaming Board. Please contact the IGB at (312) 814-4700 and ask to speak with the Licensing Unit for further instructions on how to submit an application electronically.

Miscellaneous Forms

Terminal Operator ACH Authorization Form

Standard Use Agreement

Transport Request Information & Forms

Request To Transfer System

*NOTE: Adobe Acrobat Reader for Windows or Mac is required to use this form. Mobile devices or tablets are not supported. Depending on your computer's configuration, the form may not open within your browser.  If the form does not open within your browser it will direct you to a webpage with a Please Wait message. Once directed here, you will then need to save the file (select the flopping disc icon to the right of the menu bar) to your desktop and then open the file with Adobe Acrobat (right click the document on your desktop and click Open with Adobe Acrobat). 

Terminal Collateral Lender Registration Form

Document Upload System

Document Upload System

NOTE: Applications should not be submitted via the Document Upload System. A list of acceptable documents to upload can be found on the Welcome page of the Document Upload System.