Alert
Welcome to the wonderful world of electronic filing! Effective April 28, 2014, the Alaska Department of Revenue, Tax Division introduced a new website for online taxpayer services for the following tax programs: Alcoholic Beverage Tax, Cigarette and Tobacco Tax, Commercial Vessel Passenger Tax, Corporate Income Tax, Corporate Oil and Gas Income Tax, Large Passenger Vessel Gambling Tax, Mining License Tax, Motor Fuel Tax, Tire Fee, and Vehicle Rental Tax. AK DOR- Revenue Online is going to make filing returns an easy, more accurate and paperless process. This new online service allows users to check their accounts, make payments and file license/permit applications. Revenue Online will be adding additional tax programs to this online service in the near future. Please check the TRMS page on the Tax Division website frequently for additional announcements and when this new service will be available for your tax program.


Gaming

Note: The Tax Division is offering users an interactive option to some of the forms provided on this page. This means that you may either print a blank form to fill out manually, or you may enter your data directly onto the form and then print the completed form to sign and send to the Tax Division. As interactive forms become available, they will be posted to this page.

Forms that are interactive will have the (Fill-in Form) designation next to the form number. Before using the interactive forms, please review the instructions.

Please note: Excel files will fail to show up in some versions of Google Chrome.


 Form Number Title Revision Date Document Type
Permittee Forms
Applications
 Permittee Application
826a 2014 Permittee Application Amended Fill In (Rev 8/13) PDF Link
826a 2015 Permittee Application Amended (Rev 9/14) PDF Link
826ai 2015 Permittee Application Amended Instructions (Rev 9/14) PDF Link
826ai 2014 Permittee Application Amended Instructions (Rev 8/13) PDF Link
826rc 2014 Permittee Application Check List Renewal (Rev 8/13) PDF Link
826rc 2015 Permittee Application Check List Renewal (Rev 8/13) PDF Link
826 2015 Permittee Application (Rev 9/14) PDF Link
826 2014 Permittee Application Fill In (Rev 8/13) PDF Link
826l 2014 Permittee Application Cover Letter (Rev 10/13) Word Link
826i 2015 Permittee Application Instructions (Rev 9/14) PDF Link
826i 2015 Permittee Application Instructions (Rev 9/14) PDF Link
826i 2014 Permittee Application Instructions (Rev 8/13) PDF Link
 Pull-Tab Vendor Registration
854 2014 Pull-Tab Vendor Registration Fill In (Rev 8/13) PDF Link
854 2015 Pull-Tab Vendor Registration (Rev 9/14) PDF Link
 Permittee Test Available Online
862 2014 Permittee Test (Rev 10/13) PDF Link
Reports
 Permittee Quarterly Report
828 2014 Permittee Quarterly Report Fill In (Rev 10/13) Excel Link
828 2013 Permittee Quarterly Report Fill In (Rev 11/12) Excel Link
828i 2013 Permittee Quarterly Report Instructions (Rev 12/12) PDF Link
828i 2014 Permittee Quarterly Report Instructions (Rev 10/13) PDF Link
 Calcutta Pool Report
810 2014 Calcutta Pool Report (Rev 10/13) PDF Link
 Permittee Annual Financial Statement
833EZ 2013 Permittee Annual Financial Statement -EZ Fill In (Rev 10/13) Excel Link
833EZi 2013 Permittee Annual Financial Statement -EZ Instructions (Rev 10/13) PDF Link
833 2013 Permittee Annual Financial Statement (Rev 10/13) Excel Link
833i 2013 Permittee Annual Financial Statement Instructions (Rev 10/13) PDF Link
Operator Forms
Applications
 Operator Application
847a 2015 Operator Application Amended (Rev 9/14) PDF Link
847a 2014 Operator Application Amended Fill In (Rev 8/13) PDF Link
847ai 2014 Operator Application Amended Instructions (Rev 8/13) PDF Link
847ai 2015 Operator Application Amended Instructions (Rev 9/14) PDF Link
847l 2014 Operator Application Cover Letter (Rev 10/13) Word Link
847 2014 Operator Application  Fill In (Rev 8/13) PDF Link
847 2015 Operator Application (Rev 9/14) PDF Link
847i 2015 Operator Application Instructions (Rev 9/14) PDF Link
847i 2014 Operator Application Instructions (Rev 9/13) PDF Link
 Operator Surety
847c 2014 Operator Surety Bond Fill In (Rev 8/13) PDF Link
847c 2015 Operator Surety Bond (Rev 9/14) PDF Link
 Assignment of Cash
847d 2015 Assignment of Cash Deposit (Rev 9/14) PDF Link
847d Assignment of Cash Deposit Fill In (Rev 4/13) PDF Link
 Operating Contract
856 Operating Contract  Fill In (Rev 4/13) PDF Link
856 Operating Contract (Rev 9/14) PDF Link
Reports
 Operator Quarterly Report
843 2014 Operator Quarterly Report Fill In (Rev 9/12) Excel Link
843 2013 Operator Quarterly Report Fill In (Rev 9/12) Excel Link
843i 2013 Operator Quarterly Report Instructions (Rev 11/12) PDF Link
843i 2014 Operator Quarterly Report Instructions (Rev 10/13) PDF Link
 Operator Annual Report
844 2013 Operator Annual Report Fill In (Rev 10/13) Excel Link
844i 2013 Operator Annual Report Instructions (Rev 10/13) PDF Link
MBP (Multiple-Beneficiary Permittee) Forms
Applications
 Multiple-Beneficiary Permittee Application
859a 2014 Multiple-Beneficiary Permittee Application Amended Fill In (Rev 10/13) PDF Link
859a 2015 Multiple-Beneficiary Permittee Application Amended (Rev 9/14) PDF Link
859ai 2015 Multiple-Beneficiary Permittee Application Amended Instructions (Rev 9/14) PDF Link
859ai 2014 Multiple-Beneficiary Permittee Application Amended Instructions (Rev 8/13) PDF Link
859l 2014 Multiple-Beneficiary Permittee Application Cover Letter (Rev 10/13) Word Link
859 2014 Multiple-Beneficiary Permittee Application Fill In (Rev 10/13) PDF Link
859 2015 Multiple-Beneficiary Permittee Application (Rev 9/14) PDF Link
859i 2015 Multiple-Beneficiary Permittee Application Instructions (Rev 9/14) PDF Link
859i 2014 Multiple-Beneficiary Permittee Application Instructions (Rev 8/13) PDF Link
Reports
 Multiple-Beneficiary Permittee Quarterly Report
867 2013 Multiple-Beneficiary Permittee Quarterly Report Fill In (Rev 11/12) Excel Link
867 2014 Multiple-Beneficiary Permittee Quarterly Report Fill In (Rev 10/13) Excel Link
867i 2014 Multiple-Beneficiary Permittee Quarterly Report Instructions (Rev 10/13) PDF Link
867i 2013 Multiple-Beneficiary Permittee Quarterly Report Instructions (Rev 9/12) PDF Link
 Multiple-Beneficiary Permittee Annual Report
866 2013 Multiple-Beneficiary Permittee Annual Report Fill In (Rev 10/13) Excel Link
866i 2013 Multiple-Beneficiary Permittee Annual Report Instructions (Rev 10/13) PDF Link
Distributor Forms
 Distributor Application
837l 2014 Distributor Application Cover Letter (Rev 10/13) Word Link
837 2014 Distributor Application Fill In (Rev 8/13) PDF Link
837 2015 Distributor Application (Rev 9/14) PDF Link
Manufacturer Forms
 Manufacturer Application
853l 2014 Manufacturer Application Cover Letter (Rev 10/13) Word Link
853 2014 Manufacturer Application Fill In (Rev 8/13) PDF Link
853 2015 Manufacturer Application (Rev 9/14) PDF Link
 Sworn Statement
95 Sworn Statement (Rev 9/14) PDF Link
Other Forms
 Gaming Request for Appeal
851 Gaming Request for Appeal (Rev 9/13) PDF Link
851i Gaming Request for Appeal Instructions (Rev 9/13) PDF Link
 Bingo Prize Receipt
877 Bingo Prize Receipt (Rev 10/12) PDF Link
 Pull-Tab Prize
858a Pull-Tab Prize Receipt (Rev 4/13) PDF Link
858 Pull-Tab Prize (Rev 4/13) PDF Link
 Prize Receipt - Other than Pull-Tab
874 Prize Receipt - Other than Pull-Tab (Rev 4/13) PDF Link
 Permittee/Licensee Authorization of Handling Electronic Bingo Devices
702 Permittee/Licensee Authorization of Handling Electronic Bingo Devices (Rev 9/12) PDF Link
 Power of Attorney for Appeal
852 Power of Attorney for Appeal (Rev 10/12) PDF Link
 Request for Gaming Information
876 Request for Gaming Information (Rev 8/11) PDF Link
 

Previous Years' Forms

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