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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:
*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 Forms & Applications
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).
Document Upload System
Document Upload System