State of Nevada

NEVADA GAMING COMMISSION
and
STATE GAMING CONTROL BOARD

Seal of Nevada

Agency Forms & Applications


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.


Table of Contents
Administration Division
Audit Division
Corporate Securities Division
Enforcement Division
Investigations Division
Tax and License Division
Technology Division



Administration Division
Publications
List of Publications PDF
Gaming Control Board Application for Employment PDF


Audit Division

Internal Control Systems
Instructions for Internal Control Amendment Submissions Cover Page PDF
Internal Control Amendment Submissions Cover Page PDF

Race Book and/or Sports Pool
Application Instructions for a Race Book and/or Sports Pool
    Revised 12/07
PDF
Race Book-Sports Pool Questionnaire PDF
Book Wagering Report Instructions PDF
Book Wagering Report Form PDF
Listed Patron Approval PDF
Model Reserve Agreements
     Agreement Example
     Bond Example
PDF
PDF
PDF
Registration of Race Book & Sports Pool Employees PDF
Sample Compliance Report PDF
Suspicious Wager Report Instructions PDF
Suspicious Wager Report Form PDF

Regulation 6.130
Count Personnel Reporting Form PDF
Drop and Count Time Form for Group I Licensees PDF

Regulation 6.150 Bankroll Formula and Information
Bankroll Formula Excel
Bankroll Formula - Restricted licensees Excel
Bankroll Instructions PDF
Overview Document PDF

Regulation 6A
CTRC-N form PDF

Regulation 8.130 Transactions
Transaction Reporting Form PDF
Instructions for Filing Forms PDF
Supplemental Information Form PDF
Instructions for Filing Supplemental Information Forms PDF



Corporate Securities Division
Foreign Gaming
Operator Forms
    Foreign Gaming Reporting Requirements Policy Statement
        Revised: 07-02-02
PDF
    FG-700  Notification Statement
        Revised: 07-02-02
PDF WORD
    FG-710-1  Operation Statement
        Revised: 07-02-02
PDF WORD
    FG-710-2  Annual Report
        Revised: 07-02-02
PDF WORD
    FG-710-3  Quarterly Report
        Revised: 07-02-02
PDF WORD
    FG-710-4  Termination Notice PDF WORD
Participation Agreement Forms    
    FG-700 (PA)  Notification Statement PDF WORD
    FG-710-1 (PA)  Operation Statement PDF WORD
    FG-710-3 (PA)  Quarterly Report PDF WORD
    FG-710-4 (PA)  Termination Notice PDF WORD

Publicly Traded Corporations
Reporting Requirements PDF
Official Forms Instructions - Forms for use by Publicly Traded Corporations
    Revised 03/06
PDF
PTC-1  Application
    Revised 03/06
PDF
Release of All Claims PDF
PTC-2  Application for Registration or for Amendment to Order of Registration
    Revised 03/06
PDF
PTC-110  Application for Approval of a Public Offering
    Revised 03/06
PDF
PTC-115  Application for a Continuous or Delayed Public Offering ("shell")
    Revised 09/06
PDF
PTC-200  Application for Approval of and Acquisition of Control
    Revised 03/06
PDF
PTC-250  Application for Approval of a Plan of Recapitalization
    Revised 03/06
PDF
PTC-260  Application for Approval of Exceptional Repurchase of Securities
    Revised 03/06
PDF
PTC-310  Application for Approval of a Proxy Statement or Information Statement
    Revised 03/06
PDF
PTC-320  Application for Approval of Listing on a Securities Exchange
    Revised 03/06
PDF
PTC-430  Application for Waiver of NGC Reg. 16.430 as an Institutional Investor
    Revised 03/06
PDF




Enforcement Division
Charitable Bingo and Lotteries
Charitable Bingo Game Application Information PDF
Charitable Bingo Application for Approval or Registration PDF
Charitable Lotteries Application for Approval or Registration PDF

Chips and Tokens
Chip and Token Redemption PDF WORD
Chip and Token Destruction Plan   PDF WORD
Record of Destruction of Chips and Tokens   PDF WORD

Gaming Device Transactions
Private Sale Application 14.330 PDF
Regulation 14.180 Application - Licensed Manufacturers and Distributors
Instructions
Forms
PDF
PDF
Regulation 14.190/14.180 Application - Other than Distributor
Instructions
Forms
PDF
PDF

New Games
New Game Evaluation Procedure
    Revised 05/08
PDF  
Request to Release Information
    Revised 05/04
PDF WORD
Release of All Claims
    Revised 05/04
PDF WORD
Affidavit of Full Disclosure
    Revised 05/04
PDF WORD
Personal History Record
    Revised 12/07
PDF WORD
List of Nevada Approved Gambling Games
    Revised 08/07
PDF  
Game Variation (11/07) PDF  

Horse Racing
License Application (Horse Racing)
    Enf-84 Revised 06/95
PDF  

Race Book and/or Sports Pool
Application Instructions for a Race Book and/or Sports Pool
    Revised 12/07
PDF
Race Book-Sports Pool Questionnaire PDF
Book Wagering Report Instructions PDF
Book Wagering Report Form PDF
Listed Patron Approval PDF
Model Reserve Agreements
     Agreement Example
     Bond Example
PDF
PDF
PDF
Registration of Race Book & Sports Pool Employees PDF
Sample Compliance Report PDF
Suspicious Wager Report Instructions PDF
Suspicious Wager Report Form PDF

Statements
Voluntary Statement PDF
Voluntary Statement Continuation PDF



Investigations Division
  
Instructions
For Nonrestricted Gaming License
    Revised 10/07
PDF
For Restricted Gaming License
    Revised 10/07
PDF
For Nonrestricted Gaming License as a Key Employee
    Revised 10/07
PDF
For Restricted Gaming License as a Key Employee
    Revised 10/07
PDF
Instructions to Applicants for a Manufacturer and/or Distributor License
    Revised 10/07
PDF

Requesting Licensing to Conduct Pari-Mutuel Wagering
    Revised 02/06

PDF

For Approval to Participate in Pari-Mutuel Commissions
    Revised 02/06
PDF
For Gaming Salon
    Revised 03/04
PDF
Requesting Licensing as an Information Service
    Revised 10/07
PDF
Grant of Option Instructions PDF
Instructions to Applicants for a License to Conduct Racing
    Revised 10/07
PDF
Instructions to Applicants Requesting a Preliminary Determination of a Location's Suitability for the Conduct of Gaming PDF
Instructions to Applicants for a Disseminator License
    Revised 10/07
PDF
Instructions to Applicants as an Operator of a Call Center
    Revised 10/07
PDF

Forms and Applications
Form 1  Application For a Nevada Gaming License
    Revised 09/04
PDF WORD
Form 2 Application For Approval by Corporation/Partnership/ Limited Liability Company
    Revised 10/05
PDF WORD
Form 3  Application For Registration by Holding Company/ Intermediary Company
    Revised 05/04
PDF WORD
Form 4  Personal History Record (For Restricted Applications only)
    Revised 05/07
PDF WORD
Form 5  Personal Financial Questionnaire (PFQ)
    Revised 09/04
PDF WORD
Form 6  Statement of Pre-opening Cash/First Years Cash Flow PDF EXCEL
Form 7  Multi Jurisdictional Personal History Disclosure Form (Nonrestricted Applications only)
    Revised 02/06
PDF WORD
Form 7A Nevada Supplemental Personal History Disclosure Form (Nonrestricted Applications only)
    Revised 05/04
PDF WORD
Form 8 Application to Conduct Racing by Corporation/Partnership/Limited Liability Company
    Revised 02/06
PDF WORD
Form 9  Application to Conduct Racing (by an Individual)
    Revised 02/06
PDF WORD
Form 10  Affidavit of Full Disclosure
    Revised 05/04
PDF WORD
Form 13  Application to Conduct Pari-Mutuel Wagering
    Revised 02/06
PDF WORD
Form 14  Application for Approval from Nevada Gaming Authorities
    Revised 02/06
PDF WORD
Form 15  Location/Landlord Information Sheet (Sample Location Diagrams - PDF)
    Revised 03/08
PDF WORD
Form 16 Due Diligence Form Pursuant to NGC Regulation 5.011(5) PDF WORD  
Form 17  Release and Indemnity of All Claims
    Revised 05/04
PDF WORD
Form 18  Request to Release Information
    Revised 05/04
PDF WORD
Form 20  Source and Application of Funds (Application for Restricted Gaming License)
    Revised 07/07
PDF WORD
Form 21  Application to Transfer Interest
    Revised 03/08
PDF WORD
Form 26  Registration of Call Center Employees
    Revised 02/06
PDF WORD

Independent Agent Registration/Reporting
Instructions for Registering as an Independent Agent
    Revised 08/05
    (Regulation 25)
PDF
Form 4R  Registration for Filing of Independent Agent
    Revised 08/05

PDF

WORD
Form 18IA  Request to Release Information (Independent Agents)
    Revised 08/05
PDF WORD
JR-08  Report of Arrangements
    Revised 07/05
PDF WORD
JR-09  Quarterly Reporting (Regulation 25 Filing)
    Revised 09/04
PDF WORD
JR-10  Annual Report of Secondary Representatives (Regulation 25 Filing)
    Revised 09/04
PDF WORD
JR-11  Irrevocable Appointment of Agent
    Revised 09/04
PDF WORD

Key Employee Reporting (Reg 3.100)
Form 3.100  Key Employee Reporting (Excel Spreadsheet) Excel
Reg 3.100  Diskette Filing Instructions PDF
Reg 3.100  Instructions for Assigning Standardized Job Codes to Employees PDF

Race Book and/or Sports Pool
Application Instructions for a Race Book and/or Sports Pool
    Revised 12/07
PDF
Race Book-Sports Pool Questionnaire PDF
Book Wagering Report Instructions PDF
Book Wagering Report Form PDF
Listed Patron Approval PDF
Model Reserve Agreements
     Agreement Example
     Bond Example
PDF
PDF
PDF
Registration of Race Book & Sports Pool Employees
     Revised 02/06
PDF WORD
Sample Compliance Report PDF
Suspicious Wager Report Instructions PDF
Suspicious Wager Report Form PDF


Regulation 5.200
Reg 5.200  Registration of International Gaming Salon Employees PDF



Tax and License Division
Regulation 5.210(1) Transactions  
Nonrestricted Licensee Request for Administrative Approval to Charge a Fee for Admission PDF
   
Drop and Count Forms  
6.130.1(a)  Drop and Count Schedule PDF
WORD
6.130.1(b)  Count Quarterly Personnel Report PDF
WORD

Regulation 6.150 Bankroll Formulas  
Bankroll Formula Excel
Bankroll Formula - Restricted licensees Excel
   
Regulation 8.130 Transactions  
Transaction Reporting Form PDF
Instructions for Filing Forms PDF
Supplemental Information Form PDF
Instructions for Filing Supplemental Information Forms PDF

Tax Forms and Informational Filings
Filing Deadlines PDF  
NGC-01  Monthly Gross Revenue Reports
    Revised 04/07/05
PDF
EXCEL
NGC-02  Annual State License Fee Report Based on Number of Games to be Operated PDF
EXCEL
NGC-02  Fee Schedule PDF
NGC-04  Fiscal Year Report of Slot Machine Taxes PDF
EXCEL
NGC-05  Monthly Gross Revenue Report of Credit Instruments collected After Closure PDF  
NGC-11  Live Entertainment Tax
    Revised 07/01/05
PDF
EXCEL
NGC-12  Live Entertainment Tax - Restricted Licensees
    Revised 07/01/05
PDF
EXCEL
NGC-13  Live Entertainment Tax Report PDF
EXCEL
  Maximum Occupancy/Seating of At Least 7500  
NGC-14  Restricted Licensee Report of Quarterly State License Fees PDF  
NGC-15  Report of Quarterly State Gaming License Fees PDF
EXCEL
NGC-15  Fee Schedule PDF  
NGC-16  Holiday or Special Event Application PDF  
NGC-17  Standard Financial Statement Filing Software
and Documentation
Download
NGC-17-a  Standard Financial Statement for Slot Machine Route Operator Licensees PDF  
NGC-20  Racing Information Disseminators Monthly Report (informational form) PDF  
NGC-20-A  Racing Information Disseminators Monthly Report (tax form) PDF
NGC-21D  Distributer's License PDF
NGC-21M  Manufacturer's License PDF
NGC-21P  Pari-Mutuel System Operator's License PDF
NGC-25  Operator of a Slot Machine Route PDF
NGC-25I  Operator of Inter-Casino Linked System PDF
NGC-27  Information Service License Fee Report
    Revised 05/01/02
PDF
NGC-30  Monthly Gross Revenue Statistical Report
    Gaming Salon
PDF
NGC-31  Monthly Gross Revenue Statistical Report PDF
EXCEL
NGC-31  Monthly Gross Revenue Statistical Report Instructions PDF
NGC-32  Track Handle and Win Report PDF
  NGC-32 Instructions PDF
NGC-36 Paper Form Filers:  
  NGC-36  Slot Route Operator Informational Report (Paper Copy) PDF
  NGC-36A Instructions and Summary Form for Paper Filers (Required) PDF
  Column by Column Instructions for NGC-36 Form PDF
  Location Listing
    Revised 05/15/2008
Excel
NGC-36 Electronic Filers:  
  NGC-36 Spreadsheet for Electronic Filing - Excel Excel
  NGC-36EIT Instructions and Summary Form for Electronic Filers (Required) PDF
  Column by Column Instructions for NGC-36 Form PDF
  Location Listing
    Revised 05/15/2008
Excel
   
NGC-PMT-1  Pari-Mutuel Wagering Tax PDF
   
ER101 Monthly Condensed Financial Statements PDF
   
Sample of Surety Bond for Gaming Establishment PDF


Technology Division
Associated Equipment
Manufacturer's Request for Review
    Revised: 11/29/2007
PDF
User's Request for Installation
    Revised: 11/29/2007
PDF
Request to Release Information PDF
Associated Equipment Feature Codes
    Added: 11/29/2007
PDF

Associated Equipment Review Checklists
Associated Equipment Approval Criteria PDF
Bingo Systems PDF WORD
Cage and Credit Systems PDF WORD
Card Games Systems PDF WORD
Computerized Keno Systems PDF WORD
Live Entertainment Tax Systems PDF WORD
Race, Sports and Pari-mutuel Race & Sports Systems PDF WORD
Slot Systems PDF WORD
Table Games Systems PDF WORD

Electronic Dissemination Authorization PDF

Gaming Device/Cashless Wagering Requests
Approval of Gaming Device Use on a Cashless Wagering System Policy PDF
Test Requirements for Gaming Devices used on Cashless Wagering Systems
    Revised: 06-11-02
PDF
Gaming Device/Cashless Wagering System Approval Request PDF

Gaming Device Modification Requests
Gaming Device Software Modification Request Form
    Revised: 11/29/2007
PDF
Gaming Device Hardware Modification Request Form
    Revised: 11/29/2007
PDF
Gaming Device Feature Codes
    Revised: 11/29/2007
PDF

New Gaming Device Submissions
    Added 07-01-03
New Gaming Device Operator Options PDF
New Gaming Device Subcontractor Checklist PDF
New Gaming Device Submission Package PDF

Software Problem/Malfunction Notification
Gaming Device Software Problem/Malfunction Notification PDF


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