| Form Name | Form |
|
2010 Forms
|
| Permittee Forms |
|
| Applications |
|
2010 Permittee Application Cover Letter
0405-826L (Rev 10/09) PDF |  |
|
2010 New Permittee Instructions Check List
0405-826c (Rev 10/09) PDF | |
|
2010 Renewal Instructions Check List
0405-826rc (Rev 10/09) PDF | |
|
2010 Permittee Application
0405-826 (Rev 10/09) PDF | |
|
2010 Pull-Tab Vendor Registration
0405-854 (Rev 10/09) PDF | |
|
2010 Amended Application Instructions
0405-826ai (Rev 10/09) PDF | |
|
2010 Amended Application
0405-826A (Rev 10/09) PDF | |
|
| Operator Forms |
|
| Applications |
|
2010 Operator Application Cover Letter
0405-847L (Rev 10/09) PDF | |
|
2010 Operator Application Instructions
0405-847i (Rev 10/09) PDF | |
|
2010 Operator Application
0405-847 (Rev 10/09) PDF | |
|
2010 Amended Operator Application Instructions
0405-847Ai (Rev 10/09) PDF | |
|
2010 Amended Operator Application
0405-847A (Rev 10/09) PDF | |
|
| MBP (Multiple-Beneficiary Permittee) Forms |
|
| Applications |
|
2010 Multiple-Beneficiary Permittee Application Cover Letter
0405-859L (Rev 10/09) PDF | |
|
2010 Multiple-Beneficiary Permittee Application Instructions
0405-859i (Rev 10/09) PDF | |
|
2010 Multiple-Beneficiary Permittee Application
0405-859 (Rev 10/09) PDF | |
|
2010 Multiple-Beneficiary Permittee Amended Application Instructions
0405-859AI (Rev 10/09) PDF | |
|
2010 Multiple-Beneficiary Permittee Amended Application
0405-859A (Rev 10/09) PDF | |
|
| Distributor Forms |
|
2010 Distributor Application Cover Letter
0405-837L (Rev 10/09) PDF | |
|
2010 Distributor Application
0405-837 (Rev 10/09) PDF | |
|
| Manufacturer Forms |
|
2010 Manufacturer Application Cover Letter
0405-853L (Rev 10/09) PDF | |
|
2010 Manufacturer Application
0405-853 (Rev 10/09) PDF | |
|
Sworn Statement
04-095 (Rev 01/11) PDF | |
|
| Other Forms |
|
Bingo Prize Receipt
04-877 (Rev 08/03) PDF | |
|
Pull-Tab Prize Receipt
04-0858a (Rev 11/94) PDF | |
|
Prize Receipt - Other than Pull-Tab
04-874 (Rev 09/04) PDF | |
|
Permittee/Licensee Authorization of Handling Electronic Bingo Devices
04-702 (Rev 05/03) PDF | |
|
Gaming Request for Appeal
04-0851 (Rev 01/09) PDF | |
|
Power of Attorney for Appeal
04-0852 (Rev 07/02) PDF fill-in | |
|
Request for Gaming Information
04-876 (Rev 05/01) PDF | |
|
Assignment of Cash Deposit
04-0847d (Rev 08/03) Excel fill-in |  |
|
Operator Surety Bond
04-0847c (Rev 12/05) PDF | |
|
Operating Contract
04-0856 (Rev 09/05) PDF | |
|
2009 Forms
|
| Permittee Forms |
|
| Applications |
|
2009 Permit Application Packet
0405-826P (Rev 01/09) PDF | |
|
2009 Permittee Application Cover Letter
0405-826L (Rev 01/09) PDF | |
|
2009 New Permittee Instructions Check List
0405-826c (Rev 01/09) PDF | |
|
2009 Renewal Instructions Check List
0405-826rc (Rev 01/09) PDF | |
|
2009 Permittee Application
0405-826 (Rev 01/09) PDF | |
|
2009 Pull-Tab Vendor Registration
0405-854 (Rev 01/09) PDF | |
|
2009 Amended Application Instructions
0405-826ai (Rev 01/09) PDF | |
|
2009 Amended Application
0405-826A (Rev 01/09) PDF | |
|
2009 Permittee Quarterly Report Instructions
04-828i (Rev 01/09) PDF | |
|
2009 Permittee Quarterly Report
04-828 (Rev 01/09) Excel | |
|
2009 Calcutta Pool Report
04-810 (Rev 01/09) PDF | |
|
| Operator Forms |
|
| Applications |
|
2009 Operator Packet
0405-847P (Rev 01/09) PDF | |
|
2009 Operator Application Cover Letter
0405-847L (Rev 01/09) PDF | |
|
2009 Operator Application Instructions
0405-847i (Rev 01/09) PDF | |
|
2009 Operator Application
0405-847 (Rev 01/09) PDF | |
|
2009 Amended Operator Application Instructions
0405-847Ai (Rev 01/09) PDF | |
|
2009 Amended Operator Application
0405-847A (Rev 01/09) PDF | |
|
2009 Operator Quarterly Report Instructions
04-843i (Rev 01/09) PDF | |
|
2009 Operator Quarterly Report
04-843 (Rev 01/09) PDF | |
|
| MBP (Multiple-Beneficiary Permittee) Forms |
|
| Applications |
|
2009 Multiple_Beneficiary Permittee Packet
0405-859P (Rev 01/09) PDF | |
|
2009 Multiple-Beneficiary Permittee Application Cover Letter
0405-859L (Rev 01/09) PDF | |
|
2009 Multiple-Beneficiary Permittee Application Instructions
0405-859i (Rev 01/09) PDF | |
|
2009 Multiple-Beneficiary Permittee Application
0405-859 (Rev 01/09) PDF | |
|
2009 Multiple-Beneficiary Permittee Amended Application Instructions
0405-859AI (Rev 01/09) PDF | |
|
2009 Multiple-Beneficiary Permittee Amended Application
0405-859A (Rev 01/09) PDF | |
|
2009 Multiple-Beneficiary Permittee Quarterly Report Instructions
04-867i (Rev 01/09) PDF | |
|
2009 Multiple-Beneficiary Permittee Quarterly Report
04-867 (Rev 01/09) Excel | |
|
| Distributor Forms |
|
2009 Distributor Application Cover Letter
0405-837L (Rev 01/09) PDF | |
|
2009 Distributor Application
0405-837 (Rev 01/09) PDF | |
|
2009 Distributor Monthly Report Cover Letter
04-839L (Rev 01/09) PDF | |
|
2009 Distributor Monthly Report
04-839 (Rev 01/09) PDF | |
|
| Manufacturer Forms |
|
2009 Manufacturer Packet
0405-853P (Rev 01/09) PDF | |
|
2009 Manufacturer Application Cover Letter
0405-853L (Rev 01/09) PDF | |
|
2009 Manufacturer Application
0405-853 (Rev 01/09) PDF | |
|
2009 Manufacturer Monthly Report
04-836 (Rev 01/09) PDF | |
|
Sworn Statement
04-095 (Rev 01/11) PDF | |
|
2009 Pull-Tab Manufacturer Monthly Report Cover Letter
04-836L (Rev 01/09) PDF | |
|
| Other Forms |
|
Bingo Prize Receipt
04-877 (Rev 08/03) PDF | |
|
Pull-Tab Prize Receipt
04-0858a (Rev 11/94) PDF | |
|
Prize Receipt - Other than Pull-Tab
04-874 (Rev 09/04) PDF | |
|
Permittee/Licensee Authorization of Handling Electronic Bingo Devices
04-702 (Rev 05/03) PDF | |
|
Gaming Request for Appeal
04-0851 (Rev 01/09) PDF | |
|
Power of Attorney for Appeal
04-0852 (Rev 07/02) PDF fill-in | |
|
Request for Gaming Information
04-876 (Rev 05/01) PDF | |
|
Assignment of Cash Deposit
04-0847d (Rev 08/03) Excel fill-in | |
|
Operator Surety Bond
04-0847c (Rev 12/05) PDF | |
|
Operating Contract
04-0856 (Rev 09/05) PDF | |
|
2008 Forms
|
| Permittee Forms |
|
| Reports |
|
2008 Permittee Annual Financial Statement Instructions
04-833i (Rev 01/09) PDF | |
|
2008 Permittee Annual Financial Statement
04-833 (Rev 01/09) Excel | |
|
2008 Permittee Annual Financial Statement-EZ Instructions
04-833EZi (Rev 01/09) PDF | |
|
2008 Permittee Annual Financial Statement-EZ
04-833EZ (Rev 01/09) Excel | |
|
2008 Permittee Quarterly Report Instructions
04-828i (Rev 01/08) PDF | |
|
2008 Permittee Quarterly Report
04-828 (Rev 03/08) PDF | |
|
2008 Calcutta Pool Report
04-810 (Rev 01/08) PDF | |
|
| Operator Forms |
|
| Reports |
|
2008 Operator Quarterly Report Instructions
04-843i (Rev 01/08) PDF | |
|
2008 Operator Quarterly Report
04-843 (Rev 01/08) PDF | |
|
2008 Operator Annual Report Instructions
04-844i (Rev 01/09) PDF | |
|
2008 Operator Annual Report
04-844 (Rev 01/09) Excel | |
|
| MBP (Multiple-Beneficiary Permittee) Forms |
|
| Reports |
|
2008 Multiple-Beneficiary Permittee Quarterly Report Instructions
04-867i (Rev 01/08) PDF | |
|
2008 Multiple-Beneficiary Permittee Quarterly Report
04-867 (Rev 01/08) Excel | |
|
2008 Multiple-Beneficiary Permittee Annual Report Cover Letter
04-866L (Rev 01/08) PDF | |
|
2008 Multiple-Beneficiary Permittee Annual Report Instructions
04-866i (Rev 01/09) PDF | |
|
2008 Multiple-Beneficiary Permittee Annual Report
04-866 (Rev 01/09) Excel | |
|
| Distributor Forms |
|
2008 Distributor Monthly Report Cover Letter
04-839L (Rev 01/08) PDF | |
|
2008 Distributor Monthly Report
04-839 (Rev 01/08) Excel | |
|
| Manufacturer Forms |
|
2008 Manufacturer Monthly Report
04-836 (Rev 01/08) Excel | |
|
Sworn Statement
04-095 (Rev 01/11) PDF | |
|
| Other Forms |
|
Bingo Prize Receipt
04-877 (Rev 08/03) PDF | |
|
Pull-Tab Prize Receipt
04-0858a (Rev 11/94) PDF | |
|
Prize Receipt - Other than Pull-Tab
04-874 (Rev 09/04) PDF | |
|
Permittee/Licensee Authorization of Handling Electronic Bingo Devices
04-702 (Rev 05/03) PDF | |
|
Gaming Request for Appeal
04-0851 (Rev 01/09) PDF | |
|
Power of Attorney for Appeal
04-0852 (Rev 07/02) PDF fill-in | |
|
Request for Gaming Information
04-876 (Rev 05/01) PDF | |
|
Assignment of Cash Deposit
04-0847d (Rev 08/03) Excel fill-in | |
|
Operator Surety Bond
04-0847c (Rev 12/05) PDF | |
|
Operating Contract
04-0856 (Rev 09/05) PDF | |
|