Forms

Forms

**Note: Yellow indicates a fillable form

EMPLOYEE CREDENTIAL
Form #
Document Name
 
1
Personal History Disclosure Form 3 – Casino Employee Registration
UPDATED April 28, 2021
2
Casino Employee License Conversion Application
No Longer In Use
3
Request to Determine Employment or Reapplication Eligibility
4
License Application Request Form
5
(And 43 And 63)
Credit Card Authorization
6
Change of Name or Address Form
7
Request for Copy of Registration Credential
8
Notice of Right to Division Hearing
9
Link to Right to Appeal to Casino Control Commission
10
Temporary Casino Key Employee Licensure
UPDATED December 3, 2020
CASINO LICENSE
Form #
Document Name
 
20
(And 32)
Multi-Jurisdictional Personal History Disclosure Form
21
New Jersey Supplemental Form to the Multi-Jurisdictional Personal History Disclosure Form – Casino Qualifiers and Casino Key Employee Qualifiers
UPDATED September 11, 2020
22
Personal History Disclosure Resubmission Form – Casino Qualifiers
UPDATED September 11, 2020
23
Business Entity Disclosure Form – Casino Company and Casino Holding and Intermediary Company
24
(And 37)
Institutional Investor Certification
25
Personal History Disclosure Form 1 – Casino Qualifiers
UPDATED September 11, 2020
26
Initial Internet Gaming Permit Application
27
Request for Relief From or Waiver of Internet Gaming Requirement
28
(And 45)
Internet Gaming Disclosure Statement Form
29
(And 31B)
Multi-Jurisdictional Business Form
29A
(And 31C)
New Jersey Supplemental Form to the Multi-Jurisdictional Business Form – Casino Company Casino Holding and Intermediary Company
ENTERPRISE LICENSE
Form #
Document Name
 
30
Instructions for Filing an Application for a Casino Service Industry Enterprise License
30A
Instructions for Filing an Application for an Ancillary Casino Service Industry Enterprise License
31
Business Entity Disclosure Form – Casino Service Industry Enterprise License
31A
Business Entity Disclosure Form – Ancillary Casino Service Industry Enterprise License
31B
(And 29)
Multi-Jurisdictional Business Form
31C
(And 29A)
New Jersey Supplemental Form to the Multi-Jurisdictional Business Form – Casino Company Casino Holding and Intermediary Company
32
(And 20)
Multi-Jurisdictional Personal History Disclosure Form
32A
Personal History Disclosure Form – Ancillary Casino Service Industry Enterprise
33
New Jersey Supplemental Form to the Multi-Jurisdictional Personal History Disclosure Form – Casino Service Industry Enterprise Qualifiers
UPDATED September 11, 2020
34
Personal History Disclosure Form 2 – Outside Directors of Holding and Intermediary Companies of Casino Service Industry Enterprises
UPDATED September 11, 2020
35
Casino Service Industry Enterprise – Qualifier Resubmission Disclosure Form
UPDATED January 29, 2018
36
(And 56)
Equal Opportunity and Affirmative Action Obligations – Casino Service Industry Applicants/Licensees
37
(And 24)
Institutional Investor Certification
38
Labor Organization Registration Statement
39
Labor Organization Individual Disclosure Form
40
Vendor Registration Form – Contact the casino you are doing business with for this form.
41
Vendor Registration Supplemental Disclosure Form
UPDATED January 29, 2018
42
Non-Supervisory Employee(s) of a Junket Enterprise – Registration Form
UPDATED January 29, 2018
43
(And 5
And 63)
Credit Card Authorization
44
Request for Removal from Prohibited Vendor List For Failure to Timely File Supplemental Disclosure Form

45
(And 28)

Internet Gaming Disclosure Statement Form
CASINO HOTEL ALCOHOLIC
BEVERAGE LICENSE
Form #
Document Name
 
50
Instructions For Obtaining an Initial Casino Hotel Alcoholic Beverage License or Filing For Resubmission
51
Casino Hotel Alcoholic Beverage – License Application
52
Casino Hotel Alcoholic Beverage – License Resubmission
53
Casino Hotel Alcoholic Beverage Licensee – Business Entity Disclosure Form
54
Casino Hotel Alcoholic Beverage Licensee – Business Entity Disclosure Form – Holding Company
55
Casino Hotel Alcoholic Beverage Licensee – Qualifier Disclosure Form
56
(And 36)
Equal Opportunity and Affirmative Action Obligations – Casino Service Industry Applicants/Licensees
57
Casino Hotel Alcoholic Beverage – Social Affair Permit Application
58
Casino Hotel Alcoholic Beverage – Consumer Alcoholic Beverage Tasting Permit Application
59
Casino Hotel Alcoholic Beverage – Special Disposal Permit Application
60
Casino Hotel Alcoholic Beverage – Temporary Miscellaneous Contingency Permit Application
61
Casino Hotel Alcoholic Beverage – Donation Permit Application
62
Casino Hotel Alcoholic Beverage – Merchandising Permit Application
63
(And 5 And 43)
Credit Card Authorization
64
Casino Hotel Alcoholic Beverage Licensee – Submission By a Casino Licensee For a Temporary Type III Authorization
SELF-EXCLUSION
Form #
Document Name
 
70
Request for Voluntary Self-Exclusion from Casino Facilities Including Internet Gaming Activities; or Internet Gaming Only
71
Request for Removal from Voluntary Self-Exclusion List
REGULATORY ENFORCEMENT BUREAU
72
73
74
FINGERPRINTING INFORMATION
75
Instructions for Completing Fingerprinting for Out-of-State and Out-of-Country Applicants
Gaming Dispute Forms
76
Internet Gaming Dispute Form
77
Patron Complaint Form
Translate »