 |
NEVADA GAMING COMMISSION |
 |
Note: Documents, forms and applications on this site are stored as MS Word, MS Excel, or Adobe Acrobat files. To download Adobe's Acrobat Reader or Microsoft's Word Viewer free of charge, click here.
| Administration Division |
|---|
| Publications | ||
| List of Publications | ||
| Gaming Control Board Application for Employment | ||
| Audit Division |
|---|
| New Applicants | ||
| New Applicant Pre-Opening Checklist for Group I Licensees Revised 06/09 |
||
| Internal Control Systems | ||
| NGC Regulation 6.090 Written System of Internal Control Policies | ||
| Internal Control System Submission Summary Form | ||
| Race Book and/or Sports Pool | ||
| Application Instructions for a Race Book and/or Sports
Pool Revised 12/07 |
||
| Race Book-Sports Pool Questionnaire | ||
| Book Wagering Report Instructions | ||
| Book Wagering Report Form | ||
| Listed Patron Approval | ||
| Model Reserve
Agreements Agreement Example Bond Example |
PDF |
|
| Registration of Race Book & Sports Pool Employees | ||
| Sample Compliance Report | ||
| Suspicious Wager Report Instructions | ||
| Suspicious Wager Report Form | ||
| Regulation 6.130 | ||
| Count Personnel Reporting Form | ||
| Drop and Count Time Form for Group I Licensees | WORD | |
| Regulation 6.130 Count - Removal Report Instructions | ||
| Regulation 6.150 Bankroll Formula and Information | ||
| Bankroll Formula | Excel | |
| Bankroll Formula - Restricted licensees | Excel | |
| Bankroll Instructions | ||
| Overview Document | ||
| Regulation 8.130 Transactions | ||
| Transaction Reporting Form | WORD | |
| Instructions for Filing Forms | ||
| Supplemental Information Form | WORD | |
| Instructions for Filing Supplemental Information Forms | ||
| Corporate Securities Division |
|---|
| Foreign Gaming | |||
| Operator Forms | |||
| Foreign Gaming Reporting Requirements
Policy Statement Revised: 07-17-09 |
|||
| FG-700 Notification
Statement Revised: 07-17-09 |
WORD | ||
| FG-710-1 Operation
Statement Revised: 07-17-09 |
WORD | ||
| FG-710-2 Annual
Report Revised: 07-17-09 |
WORD | ||
| FG-710-3 Quarterly
Report Revised: 07-17-09 |
WORD | ||
| FG-710-4 Termination Notice | WORD | ||
| Participation Agreement Forms | |||
| FG-710-3 (PA) Quarterly Report | WORD | ||
| Publicly Traded Corporations | ||
| Reporting Requirements | ||
| Official Forms Instructions - Forms for use by Publicly
Traded Corporations Revised 03/06 |
||
| PTC-1 Application Revised 03/06 |
||
| Release of All Claims | ||
| PTC-2 Application for Registration or for
Amendment to Order of Registration Revised 03/06 |
||
| PTC-110 Application for Approval of a Public
Offering Revised 03/06 |
||
| PTC-115 Application for a Continuous or
Delayed Public Offering ("shell") Revised 09/06 |
||
| PTC-200 Application for Approval of and
Acquisition of Control Revised 03/06 |
||
| PTC-250 Application for Approval of a Plan
of Recapitalization Revised 03/06 |
||
| PTC-260 Application for Approval of
Exceptional Repurchase of Securities Revised 03/06 |
||
| PTC-310 Application for Approval of a Proxy
Statement or Information Statement Revised 03/06 |
||
| PTC-320 Application for Approval of Listing
on a Securities Exchange Revised 03/06 |
||
| PTC-430 Application for Waiver of NGC Reg.
16.430 as an Institutional Investor Revised 03/06 |
||
| Enforcement Division |
|---|
| 3rd Party Registration | |||
| ENF-120 3rd Party Registration (11-09) | |||
| Charitable Gaming Applications | ||
| Charitable Bingo Game Application Information | ||
| Charitable Bingo Application for Approval or Registration | ||
| Charitable Gaming Application for Board Approval | ||
| Charitable Lotteries Application for Approval or Registration | ||
| Chips and Tokens | |||
| Chip and Token Redemption Revised 03/09 |
WORD | ||
| Chip and Token Destruction Plan Revised 03/09 |
WORD | ||
| Record of Destruction of Chips and Tokens Revised 03/09 |
WORD | ||
| Gaming Salon | |||
| Gaming Salon Notification (ENF-110) | WORD | ||
| Gaming Device Transactions | |||
| Private Sale Application 14.330 | |||
| Regulation 14.180 Application - Licensed Manufacturers
and Distributors |
|||
| Instructions Forms |
PDF |
||
| Regulation 14.190/14.180 Application - Other than Distributor |
|||
| Instructions Forms |
PDF |
||
| New Games | |||
| New Game Evaluation Procedure Revised 03/09 |
|||
| Request to Release
Information Revised 05/04 |
WORD | ||
| Release of All Claims Revised 05/04 |
WORD | ||
| Affidavit of Full
Disclosure Revised 05/04 |
WORD | ||
| Personal History Record Revised 02/09 |
WORD | ||
| List of Nevada Approved Gambling Games Revised 02/28/09 |
|||
| Game Variation/Modification of an Approved Game Format Revised 03/09 |
|||
| Horse Racing | |||
| License Application (Horse Racing) Enf-84 Revised 06/95 |
|||
| Race Book and/or Sports Pool | ||
| Application Instructions for a Race Book and/or Sports
Pool Revised 12/07 |
||
| Race Book-Sports Pool Questionnaire | ||
| Book Wagering Report Instructions | ||
| Book Wagering Report Form | ||
| Listed Patron Approval | ||
| Model Reserve
Agreements Agreement Example Bond Example |
PDF |
|
| Registration of Race Book & Sports Pool Employees | ||
| Sample Compliance Report | ||
| Suspicious Wager Report Instructions | ||
| Suspicious Wager Report Form | ||
| Statements | ||
| Voluntary Statement | ||
| Voluntary Statement Continuation | ||
| Investigations Division |
|---|
| Instructions | ||
| For Nonrestricted Gaming
License Revised 10/07 |
||
| For Restricted Gaming License Revised 10/07 |
||
| For Nonrestricted Gaming License as a Key
Employee Revised 10/07 |
||
| For Restricted Gaming License as a Key
Employee Revised 10/09 |
||
| Instructions to Applicants for a Manufacturer and/or Distributor License Revised 10/07 |
||
Requesting Licensing to Conduct
Pari-Mutuel Wagering |
||
| For Approval to Participate in Pari-Mutuel
Commissions Revised 02/06 |
||
| For Gaming Salon Revised 03/04 |
||
| Requesting Licensing as an Information
Service Revised 10/07 |
||
| Grant of Option Instructions | ||
| Instructions to Applicants for a License to Conduct Racing Revised 10/07 |
||
| Instructions to Applicants Requesting a Preliminary Determination of a Location's Suitability for the Conduct of Gaming | ||
| Instructions to Applicants for a Disseminator License Revised 10/07 |
||
| Instructions to Applicants as an Operator of a Call Center Revised 10/07 |
||
| Forms and Applications | ||||
| Form 1 Application For a Nevada Gaming
License Revised 09/04 |
WORD | |||
| Form 2 Application For Approval by
Corporation/Partnership/ Limited Liability Company Revised 10/05 |
WORD | |||
| Form 3 Application For Registration by Holding
Company/ Intermediary Company Revised 05/04 |
WORD | |||
| Form 4 Personal History Record (For Restricted
Applications only) Revised 06/09 |
WORD | |||
| Form 5 Personal Financial Questionnaire (PFQ)
Revised 09/04 |
WORD | |||
| Form 6 Statement of Pre-opening Cash/First Years Cash Flow | EXCEL | |||
| Form 7 Multi Jurisdictional Personal History
Disclosure Form (Nonrestricted Applications only) Revised 02/06 |
WORD | |||
| Form 7A Nevada Supplemental Personal History
Disclosure Form (Nonrestricted Applications only) Revised 05/04 |
WORD | |||
| Form 8 Application to Conduct Racing by Corporation/Partnership/Limited Liability Company Revised 02/06 |
WORD | |||
| Form 9 Application to Conduct Racing (by an Individual) Revised 02/06 |
WORD | |||
| Form 10 Affidavit of Full Disclosure Revised 05/04 |
WORD | |||
| Form 13 Application to Conduct Pari-Mutuel
Wagering Revised 02/06 |
WORD | |||
| Form 14 Application for Approval from Nevada
Gaming Authorities Revised 02/06 |
WORD | |||
| Form 15 Location/Landlord Information Sheet (Sample Location Diagrams -
PDF) Revised 03/08 |
WORD | |||
| Form 16 Due Diligence Form Pursuant to NGC Regulation 5.011(5) | WORD | |||
| Form 17 Release and Indemnity of All Claims Revised 05/04 |
WORD | |||
| Form 18 Request to Release Information Revised 05/04 |
WORD | |||
| Form 20 Source and Application of Funds
(Application for Restricted Gaming License) Revised 07/07 |
WORD | |||
| Form 21 Application to Transfer Interest Revised 03/08 |
WORD | |||
| Form 26 Registration of Call Center Employees Revised 02/06 |
WORD | |||
| Independent Agent Registration/Reporting | |||
| Instructions for Registering as an
Independent Agent Revised 08/05 (Regulation 25) |
|||
| Form 4R Registration for Filing of
Independent Agent Revised 08/05 |
WORD | ||
| Form 18IA Request to Release
Information (Independent Agents) Revised 08/05 |
WORD | ||
| JR-08 Report of Arrangements Revised 07/05 |
WORD | ||
| JR-09 Quarterly Reporting
(Regulation 25 Filing) Revised 09/04 |
WORD | ||
| JR-10 Annual Report of Secondary
Representatives (Regulation 25 Filing) Revised 09/04 |
WORD | ||
| JR-11 Irrevocable Appointment of
Agent Revised 09/04 |
WORD | ||
| Key Employee Reporting (Reg 3.100) | ||
| Form 3.100 Key Employee Reporting (Excel Spreadsheet) | Excel | |
| Reg 3.100 Instructions for Assigning Standardized Job Codes to Employees | ||
| Race Book and/or Sports Pool | |||
| Application Instructions for a Race Book and/or Sports
Pool Revised 12/07 |
|||
| Race Book-Sports Pool Questionnaire | |||
| Book Wagering Report Instructions | |||
| Book Wagering Report Form | |||
| Listed Patron Approval | |||
| Model Reserve
Agreements Agreement Example Bond Example |
PDF |
||
| Registration of Race Book & Sports Pool
Employees Revised 02/06 |
WORD | ||
| Sample Compliance Report | |||
| Suspicious Wager Report Instructions | |||
| Suspicious Wager Report Form | |||
| Regulation 5.200 | ||
| Reg 5.200 Registration of International Gaming Salon Employees | ||
| Tax and License Division |
|---|
| Regulation 5.210(1) Transactions | |||
| Nonrestricted Licensee Request for Administrative Approval to Charge a Fee for Admission | |||
| Drop and Count Forms | |||
| 6.130.1(a) Drop and Count Schedule | |||
| 6.130.1(b) Count Quarterly Personnel Report | |||
| Regulation 6.150 Bankroll Formulas | |||
| Bankroll Formula | Excel | ||
| Bankroll Formula - Restricted licensees | Excel | ||
| Bankroll Formula Information Page | Information | ||
| Regulation 8.130 Transactions | |||
| Transaction Reporting Form | |||
| Instructions for Filing Forms | |||
| Supplemental Information Form | |||
| Instructions for Filing Supplemental Information Forms | |||
| New Applicants | |||
| New Applicant Pre-Opening Checklist for Group II Licensees | |||
| Tax Forms and Informational Filings | ||||
| Filing Deadlines | ||||
| NGC-01 Monthly Gross Revenue Reports Revised 04/07/05 |
||||
| NGC-02 Annual State License Fee Report Based on Number of Games to be Operated | ||||
| NGC-02 Fee Schedule | ||||
| NGC-04 Fiscal Year Report of Slot Machine Taxes | ||||
| NGC-11 Live Entertainment Tax Revised 07/01/05 |
||||
| NGC-12 Live Entertainment Tax - Restricted
Licensees Revised 07/01/05 |
||||
| NGC-13 Live Entertainment Tax Report | ||||
| Maximum Occupancy/Seating of At Least 7500 | ||||
| NGC-14 Restricted Licensee Report of Quarterly State License Fees | ||||
| NGC-15 Report of Quarterly State Gaming License Fees | ||||
| NGC-15 Fee Schedule | ||||
| NGC-16 Holiday or Special Event Application | ||||
| NGC-17 Standard Financial Statement Filing
Software and Documentation |
Download | |||
| NGC-17-a Standard Financial Statement for Slot Machine Route Operator Licensees | ||||
| NGC-20 Racing Information Disseminators Monthly Report (informational form) | ||||
| NGC-20-A Racing Information Disseminators Monthly Report (tax form) | ||||
| NGC-21D Distributer's License | ||||
| NGC-21M Manufacturer's License | ||||
| NGC-21P Pari-Mutuel System Operator's License | ||||
| NGC-25 Operator of a Slot Machine Route | ||||
| NGC-25I Operator of Inter-Casino Linked System | ||||
| NGC-27 Information Service License Fee Report Revised 05/01/02 |
||||
| NGC-30 Monthly Gross Revenue Statistical Report
Gaming Salon |
||||
| NGC-31 Monthly Gross Revenue Statistical Report | ||||
| NGC-31 Monthly Gross Revenue Statistical Report Instructions | ||||
| NGC-32 Track Handle and Win Report | ||||
| NGC-32 Instructions | ||||
| NGC-36 Paper Form Filers: | ||||
| NGC-36 Slot Route Operator Informational Report (Paper Copy) | ||||
| NGC-36A Instructions and Summary Form for Paper Filers (Required) | ||||
| Column by Column Instructions for NGC-36 Form | ||||
| Location
Listing Revised 11/10/2009 |
Excel | |||
| NGC-36 Electronic Filers: | ||||
| NGC-36 Spreadsheet for Electronic Filing - Excel | Excel | |||
| NGC-36EIT Instructions and Summary Form for Electronic Filers (Required) | ||||
| Column by Column Instructions for NGC-36 Form | ||||
| Location
Listing Revised 11/10/2009 |
Excel | |||
| NGC-PMT-1 Pari-Mutuel Wagering Tax | ||||
| ER101 Monthly Condensed Financial Statements | ||||
| Sample of Surety Bond for Gaming Establishment (updated 06/09) | ||||
| Technology Division |
|---|
| Associated Equipment | ||
| Manufacturer's Request for Review Revised: 11/29/2007 |
||
| User's Request for Installation Revised: 11/29/2007 |
||
| Request to Release Information | ||
| Associated Equipment Feature Codes Added: 11/29/2007 |
||
| Associated Equipment Review Checklists | |||
| Associated Equipment Approval Criteria | |||
| Bingo Systems | WORD | ||
| Cage and Credit Systems | WORD | ||
| Card Games Systems | WORD | ||
| Computerized Keno Systems | WORD | ||
| Live Entertainment Tax Systems | WORD | ||
| Race, Sports and Pari-mutuel Race & Sports Systems | WORD | ||
| Slot Systems | WORD | ||
| Table Games Systems | WORD | ||
| Electronic Dissemination Authorization | ||
| Gaming Device/Cashless Wagering Requests | ||
| Test Requirements for Gaming Devices used on Cashless Wagering Systems Revised: 06-11-02 |
||
| Gaming Device/Cashless Wagering System Approval Request | ||
| Gaming Device Modification Requests | ||
| Gaming Device Software Modification Request Form Revised: 11/29/2007 |
||
| Gaming Device Hardware Modification Request Form Revised: 11/29/2007 |
||
| Gaming Device Feature Codes Revised: 11/29/2007 |
||
| New Gaming Device Submissions Added 07-01-03 |
||
| New Gaming Device Operator Options | ||
| New Gaming Device Subcontractor Checklist | ||
| New Gaming Device Submission Package | ||
| Software Problem/Malfunction Notification | ||
| Gaming Device Software Problem/Malfunction Notification | ||
| System Based, System Supported, and Mobile Gaming Systems | ||
| User's Request for Installation of a System Based, System Supported, or Mobile Gaming System | ||
| System Based, System Supported, and Mobile Gaming System Installation Request Submission Requirements Revised: 6/4/2009 |
||
|
Administration Audit Corporate Securities Enforcement Gaming Commission Investigations Tax & License Technology Home Sitemap |
gcb-069
This page is Bobby Approved
Federal
Rehabilitation Act (Section
508)