NV.gov
Table of Contents
Administration Division | Audit Division | Enforcement Division | Investigations Division | Tax and License Division | Technology DivisionRegulation 6.080(6), Regulation 6.090(9), Regulation 6.090(15), and Regulation 6.105(3)
Branch Offices and Independent Agents (for Compliance with Cage and Credit MICS Standards)
Race Book and/or Sports Pool
Application Instructions for a Race Book and/or Sports Pool, the Online Book Wagering Submission Process, Suspicious Transaction Report Directions and forms can be found under Enforcement Division.
Regulation 6.130
Drop and Count Schedule & Count Personnel List upload files, and applicable instructions are located under Tax and License Division:
Regulation 6.130
These forms are located under Tax and License Division.
Gaming Employee Registration
New Games and Game Variations
ENF-117 New Game Evaluation Procedure (1-24)
Request to Release Information (05/04) - word
Request to Release Information (05/04) - pdf
Release of All Claims (05/04) - word
Release of All Claims (05/04) - pdf
Affidavit of Full Disclosure (05/04) - word
Affidavit of Full Disclosure (05/04) - pdf
ENF-104 Personal History Record (11-22) - word
Horse Racing
Race Book and/or Sports Pool
ENF-121 Regulation 22.1201 Application (9-22) - word
ENF-121 Regulation 22.1201 Application (9-22) - pdf
Suspicious Transaction Report Directions
Suspicious Transaction Report Form
*Sample Compliance Report
* Questions regarding the race book and/or sports pool reserve requirements should be directed to the Audit Division, Las Vegas office, at gcblvaud@gcb.nv.gov or (702) 486-2060.
Online Book Wagering Submission Process - effective 10/1/19
Investigations Division
INSTRUCTIONS
To electronically complete these forms please download and edit them with Adobe Acrobat. Once complete, save the file and return it to the GCB according to the instructions on the form.
NONRESTRICTED
1. Nonrestricted Gaming License
2. Nonrestricted Gaming License as a Key Employee
3. Manufacturer and/or Distributor License
4. Manufacturer of Interactive Gaming Systems or Associated Equipment License
5. Preliminary Determination Location Suitability
6. Operator of Interactive Gaming License
7. Information Service License
10. Conduct Pari-Mutuel Wagering License
11. Approval to Participate in Pari-Mutuel Commission
REGISTRATION
2. Independent Testing Lab Registration
3. Associated Equipment NEW Registration
4. Associated Equipment RENEWAL Registration
5. Independent Host NEW Registration
6. Independent Host RENEWAL Registration
7. Independent Agent NEW Registration
8. Independent Agent RENEWAL Registration
9. Service Provider NEW Registration
10. Service Provider RENEWAL Registration
11. Hosting Center NEW Registration
12. Hosting Center RENEWAL Registration
13. Registered Hosting Center Requesting Additional Facility and Services
Forms and Applications
Form 1 Application For a Nevada Gaming License (Individuals)
Form 1A Application for a Preliminary Finding of Suitability
Form 1R Application for Registration
Form 1W.1 Waiver or Modify NGC Reg 5.242(3)
Form 1W.2 Waiver or Modify NGC Reg 5.231(2) or 5.240(10)(b)
Form 2 Application For Approval by Corporation/Partnership/ LLC
Form 3 Application For Registration by Holding Company/ Intermediary Company
Form 4 Personal History Record
Form 4R Personal History Record New (Registration Applications only)
Form 4RR Personal History Record Renewal (Registration Applications only)
Form 5R Personal Financial Questionnaire (Registration applications only)
Form 6 Statement of Pre-opening Cash/First Years Cash Flow
Form 7 Multi Jurisdictional Personal History Disclosure Form
Form 7A Nevada Supplemental Personal History Disclosure Form
Form 9 Independent Agent Yearly Reporting Guidelines
Form 9 Independent Agent Yearly Report Template (EXCEL)
Form 10 Affidavit of Full Disclosure
Form 15 Location/Landlord Information Sheet
Diagram Example - Convenience Store
Form 17 Release and Indemnity of All Claims
Form 18 Request to Release Information
Form 18R Request to Release Information (Registration Applications Only)
Form 19 Application for Enrollment as an Agent
Form 20 Source and Application of Funds (Restricted Gaming License only)
Form 21 Application to Transfer Interest
Form 27 3.015(2) Additional Requirements for Restricted Applications
Form 28 Electronic Fingerprint Receipt
Electronic Fingerprint Instruction Memo
Race Book and/or Sports Pool
Application Instructions for a Race Book and/or Sports Pool (8/20)
Race Book-Sports Pool Questionnaire
Suspicious Wager Report Instructions
*Sample Compliance Report
*Questions regarding the race book and/or sports pool reserve requirements should be directed to the Audit Division, Las Vegas office, at gcblvaud@gcb.nv.gov or (702) 486-2060.
Online Book Wagering Submission Process - effective 10/1/19
Publicly Traded Corporations
Official Forms Instructions - Forms for use by Publicly Traded Corporations (05/25)
PTC-2 Application for Registration or for Amendment to Order of Registration (05/25)
Form 17 Release and Indemnity of All Claims
PTC-110 Application for Approval of a Public Offering (05/25)
PTC-115 Application for a Continuous or Delayed Public Offering ("shelf") (05/25)
PTC-200 Application for Approval of and Acquisition of Control (05/25)
PTC-250 Application for Approval of a Plan of Recapitalization (05/25)
PTC-260 Application for Approval of Exceptional Repurchase of Securities (05/25)
PTC-310 Application for Approval of a Proxy Statement or Information Statement (05/25)
PTC-430 Application for Waiver of NGC Reg. 16.430 as an Institutional Investor (05/25)
Drop and Count Forms
Regulation 6.130(1) Annual Drop and Count Schedule (Rev. 10.21) - PDF
Regulation 6.130(1) Annual Drop and Count Schedule (Rev. 10.21) - Excel
Regulation 6.130(2) Count Team Personnel List (Rev. 10.21) - PDF
Regulation 6.130(2) Count Team Personnel List (Rev. 10.21) - Excel
6.130 Drop-Count Times & Count Personnel List Reporting Instructions (Rev. 10.21)
Tax Forms and Informational Filings
NGC-01 Monthly Gross Revenue Report (Rev. 11.01.20) - PDF
NGC-01 Monthly Gross Revenue Report (Rev. 11.01.20) - Excel
NGC-04 Annual Report of Slot Machines Taxes (Rev. 11.01.20) - PDF
NGC-04 Annual Report of Slot Machines Taxes (Rev. 11.01.20) - Excel
NCG-11 Live Entertainment Tax Report (Rev. 11.01.20) - PDF
NGC-11 Live Entertainment Tax Report (Rev. 11.01.20)
NGC-12 Live Entertainment Tax Report - Restricted Licensees (Rev. 11.01.20) - PDF
NGC-12 Live Entertainment Tax Report - Restricted Licensees (Rev. 11.01.20)
NGC-14 Quarterly State License Fee Report - Restricted Licensees (Rev. 11.01.20) - PDF
NGC-14 Quarterly State License Fee Report - Restricted Licensees (Rev. 11.01.20)
NGC-15 Quarterly State License Fee Report - See Excel File for Fee Schedule (Rev.11.01.20) - PDF
NGC-15 Quarterly State License Fee Report - See Excel File for Fee Schedule (Rev. 11.01.20
NGC-16 Holiday or Special Event Application (Rev. 11.01.20) - PDF
NGC-16 Holiday or Special Event Application (Rev. 11.01.20)
NGC-17 Standard Financial Statement
Notice 2023-57 from Tax and License Chief Chan Lengsavath explaining this year's filing requirement
NGC-18 Report of Quarterly Expired Wagering Vouchers and Payout Receipts (Rev. 11.01.21) - PDF
NGC-18 Report of Quarterly Expired Wagering Vouchers and Payout Receipts (Rev. 11.01.21)
NGC-19M Manufacturer of Interactive Gaming Systems License (Rev. 11.01.20) - PDF
NGC-19M Manufacturer of Interactive Gaming Systems License (Rev. 11.01.20)
NGC-19O Operator of Interactive Gaming License (Rev. 11.01.20) - PDF
NGC-19O Operator of Interactive Gaming License (Rev. 11.01.20)
NGC-19P Interactive Gaming Service Provider License (Rev. 11.01.20) - PDF
NGC-19P Interactive Gaming Service Provider License (Rev. 11.01.20)
NGC-20 Racing Information Disseminators Monthly Report - Informational Form (Rev. 11.01.20) - PDF
NGC-20 Racing Information Disseminators Monthly Report - Informational Form (Rev. 11.01.20)
NGC-20A Racing Information Disseminators Monthly Report (Rev. 11.01.20) - PDF
NGC-20A Racing Information Disseminators Monthly Report (Rev. 11.01.20)
NGC-21D Distributor's License (Rev. 11.01.20) - PDF
NGC-21D Distributor's License (Rev. 11.01.20)
NGC-21M Manufacturer's License (Rev. 11.01.20) - PDF
NGC-21M Manufacturer's License (Rev. 11.01.20)
NGC-21P Operator of a Pari-Mutuel System License (Rev. 11.01.20) - PDF
NGC-21P Operator of a Pari-Mutuel System License (Rev. 11.01.20)
NGC-25 Operator of a Slot Machine Route License (Rev. 11.01.20) - PDF
NGC-25 Operator of a Slot Machine Route License (Rev. 11.01.20)
NGC-25O Operator of a Mobile Gaming System License (Rev. 11.01.20) - PDF
NGC-25O Operator of a Mobile Gaming System License (Rev. 11.01.20)
NGC-27 Operator of an Information Service License (Rev.11.01.20) - PDF
NGC-27 Operator of an Information Service License (Rev. 11.01.20)
NGC-30 Monthly Gross Revenue Statistical Report Gaming Salon (Rev. 11.01.20) - PDF
NGC-30 Monthly Gross Revenue Statistical Report Gaming Salon (Rev. 11.01.20)
Revenue Statistical Report (Rev. 11.01.20) - PDF
NGC-31 Monthly Gross Revenue Statistical Report (Rev. 11.01.20)
NGC-31 Monthly Gross Revenue Statistical Report Instructions
NGC-31 Monthly Gross Revenue Statistical Report (Upload File)
NGC-32 Track Handle and Win Report
NGC-32 Track Handle and Win Report (Upload File)
NGC-36 Slot Route Operator Informational Report
Column by Column Instructions (REV. 07.01.22)
Online Filing Instructions (Rev. 03.26.24)
Slot Route Operator Informational Report - Paper Filers (Rev. 04.01.18)
Miscellaneous
NGC-PMT-1 Pari-Mutuel Wagering Tax (Rev. 11.01.20) - PDF
NGC-PMT-1 Pari-Mutuel Wagering Tax (Rev. 11.01.20) - Excel
ER101 Monthly Condensed Financial Statements
Sample of Surety Bond for Gaming Establishment (updated 06/09)
Procedures
Associated Equipment Manufacturer Submission Checklist
Cloud Computing Services
Electronic Dissemination Authorization
Gaming Device Modification Requests
Gaming Device Software Modification Request Form (11/29/2007)
Gaming Device Hardware Modification Request Form (11/29/2007)