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Table of Contents

 

 

Audit Division Return to top
Document PDF OTHER
New Applicants    
New Applicant Pre-Opening Checklist for Group I Licensees - Revised 07/12 PDF  
Industry Notice 2013-66 - New Applicant Checklist for an Operator of Interactive Gaming
PDF
 
Internal Control Systems    
NGC Regulation 6.090 Written System of Internal Control Policies PDF  
Internal Control System Submission Summary Form PDF   
Regulation 6.080(6), Regulation 6.090(9) and Regulation 6.090(15)    
Report Submission Instructions PDF  
Financial Statements, CPA Agreed-Upon Procedures Report and Internal Audit Report Submission Summary Form PDF   
Race Book and/or Sports Pool    
Application Instructions for a Race Book and/or Sports Pool - Revised 5/16 PDF    
Book Wagering - for use until 9/1/17
   
Book Wagering Report Instructions (7-12) PDF   
ENF-08 Book Wagering Report (7-12)   EXCEL 
ENF-123 BWR Cover Sheet  (7-12)   WORD 
ENF-123A Cover Sheet Continuation (7-12)   WORD 
ENF-123B Cover Sheet Continuation(7-12)   WORD 
Book Wagering - effective 9/1/17
   
Book Wagering Report Instructions (9-17) PDF   
ENF-08 Book Wagering Report (9-17)   EXCEL 
ENF-123 BWR Cover Sheet  (9-17)   WORD 
ENF-123A Cover Sheet Continuation (9-17)   WORD 
ENF-123B Cover Sheet Continuation(9-17)   WORD 
Listed Patron Approval PDF    
Model Reserve Agreements  *   
Agreement Example *    
Bond Example  *    
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.    
Suspicious Wager Report Instructions  PDF    
Suspicious Wager Report Form  FORM 
 
Interactive Gaming     
Model Reserve Agreements 
 
Model Agreement (Bond) PDF    
Model Agreement (Non-Bond) PDF    
Regulation 6.130     
Count Personnel Reporting Form  PDF   
Drop and Count Time Form for Group I Licensees    WORD
Regulation 6.130 Drop-Count Times & Count Personnel Reporting Instructions (Rev. 04/12)  PDF   
Regulation 6.150 Bankroll Formula and Information      
These forms are located under Tax and License Division

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

 

Enforcement Division Return to top
Document PDF OTHER

 

Click here to file an Interactive (Online) Gaming Complaint 

 

   
3rd Party Registration 

ENF-120 3rd Party Registration (Rev. 01/11) PDF  WORD
Casino Surveillance


2017 Surveillance FAQ
PDF 
ENF-105 Request for DVR Surveillance System Approval (Rev. 11/17)
 
WORD
ENF-107 Digital Surveillance - 2 Minute Test (Rev 11/17)
 
WORD
ENF-108 Digital Surveillance - DVR 7 Day Checklist (Rev 11/17)
 
WORD
ENF-125 Annual Surveillance Plan (Non-Restricted Licensee) (Rev 07/17)

WORD
Charitable Gaming Applications     
Charitable Bingo Game Application Information (ENF-114A) (Rev. 08/11) PDF  
Charitable Bingo Application for Approval or Registration (ENF-114) (Rev. 10/17) PDF  WORD
Charitable Gaming Application for Board Approval (Rev. 02/11) PDF  WORD 
Charitable Lotteries Application for Approval or Registration (ENF-115) (Rev. 1/16) PDF  WORD
Chips and Tokens     
Chip and Token Redemption (02/11) PDF WORD
Chip and Token Destruction Plan ( 02/11) PDF  WORD
Record of Destruction of Chips and Tokens (02/11) PDF WORD
Gaming Salon     
 Instructions PDF   
Gaming Salon Notification (ENF-110)  PDF  WORD 
Gaming Device Transactions     
Private Sale Application 14.330  PDF    
ENF-126 Gaming Device Transaction     WORD
New Games    
New Game Evaluation Procedure (ENF-117) ( 03/16) PDF   
Request to Release Information (05/04) PDF  WORD 
Release of All Claims (05/04) PDF  WORD 
Affidavit of Full Disclosure (05/04) PDF  WORD 
Personal History Record (02/09) PDF  WORD 
List of Nevada Approved Gambling Games      
Game Variation/Modification of an Approved Game Format (ENF-122) - ( 03/16) PDF   
Horse Racing    
License Application (Horse Racing) (Enf-84) - (06/14) PDF  
Horse Racing Schedule Fees
PDF
 
Race Book and/or Sports Pool     
Application Instructions for a Race Book and/or Sports Pool (revised 5-16) PDF   
Race Book-Sports Pool Questionnaire PDF   
Book Wagering - for use until 9/1/17
   
Book Wagering Report Instructions (7-12) PDF   
ENF-08 Book Wagering Report (7-12)   EXCEL 
ENF-123 BWR Cover Sheet  (7-12)   WORD 
ENF-123A Cover Sheet Continuation (7-12)   WORD 
ENF-123B Cover Sheet Continuation(7-12)   WORD 
Book Wagering - effective 9/1/17
   
Book Wagering Report Instructions (9-17) PDF   
ENF-08 Book Wagering Report (9-17)   EXCEL 
ENF-123 BWR Cover Sheet  (9-17)   WORD 
ENF-123A Cover Sheet Continuation (9-17)   WORD 
ENF-123B Cover Sheet Continuation(9-17)   WORD 
Listed Patron Approval   PDF   
Model Reserve Agreements  *   
Agreement Example  *  
Bond Example  *   
ENF-121 Request to Offer Wagers on Event other than a Horse Race, Greyhound Race, or Athletic Sporting Event - Regulation 22.120 (07/17) PDF  WORD 
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.    
Suspicious Wager Report Instructions  PDF   
Suspicious Wager Report Form  FORM
 
Statements     
Voluntary Statement  PDF WORD 
Voluntary Statement Continuation  PDF WORD 

 

Investigations Division Return to top
DOCUMENT PDF OTHER
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  PDF  
 2. Nonrestricted Gaming License as a Key Employee PDF   
 3. Manufacturer andor Distributor License PDF   
 4. Manufacturer of Interactive Gaming Systems or Associated Equipment License PDF   
 5. Preliminary Determination Location Suitability PDF   
 6. Operator of Interactive Gaming License PDF   
 7. Information Service License PDF   
 8. Disseminator License PDF  
 9. Conduct Racing License PDF   
10. Conduct Pari-Mutuel Wagering License PDF  
11. Approval to Participate in Pari-Mutuel Commission PDF   
12. Gaming Salon License PDF  
13. Approval to Grant an Option PDF   
14. Operate a Call Center PDF   
RESTRICTED 

1. Restricted Gaming License PDF   
2. Restricted Space Lease Gaming License PDF   
3. Participation in Restricted Gaming Revenue PDF   
4. Restricted Gaming License as a Key Employee PDF   
SERVICE  PROVIDER    
1. Service Provider License
PDF  
     REGISTRATION    
1. Minority Equity Owner PDF  
2. Independent Testing Lab Registration
PDF  
3. Manufacturer and or Distributor of Associated Equipment NEW Registration
PDF  
4. Manufacturer and or Distributor of Associated Equipment RENEWAL Registration PDF    
5. Independent Host NEW Registration
PDF  
6. Independent Host RENEWAL Registration PDF   
7. Independent Agent NEW Registration PDF  
8. Independent Agent RENEWAL Registration PDF  
Forms and Applications     
Form 1 Application For a Nevada Gaming License  (Individuals) PDF  
Form 1A Application for a Preliminary Finding of Suitability   PDF  
Form 1R Application for Registration  PDF    
Form 2 Application For Approval by Corporation/Partnership/ LLC PDF    
Form 2R Application For Registration by a Corporation/Partnership/LLC PDF    
Form 3 Application For Registration by Holding Company/ Intermediary Company  PDF   
Form 4 Personal History Record (Restricted Applications only)  PDF    
Form 4R Personal History Record New (Registration Applications only) PDF   
Form 4RR Personal History Record Renewal (Registration Applications only) PDF    
Form 5 Personal Financial Questionnaire PDF    
Form 5R Personal Financial Questionnaire (Registration applications only) PDF    
Form 6 Statement of Pre-opening Cash/First Years Cash Flow  PDF  EXCEL 
Form 7 Multi Jurisdictional Personal History Disclosure Form (Nonrestricted Applications only) PDF   
Form 7A Nevada Supplemental Personal History Disclosure Form (Nonrestricted Applications only)   PDF    
Form 9 Independent Agent Monthly Reporting Guidelines PDF  
      Independent Agent Monthly Report Template   EXCEL 
Form 10 Affidavit of Full Disclosure   PDF    
Form 11  Irrevocable Appointment   PDF    
Form 12 Independent Host Monthly Reporting Guidelines  PDF   
     Independent Host Monthly Report Template   EXCEL
Form 15 Location/Landlord Information Sheet   PDF    
Diagram Example - Convenience Store  PDF   
Diagram Example – Bar/Tavern  PDF 
Form 16 Due Diligence Form Pursuant to NGC Regulation 5.011(5)  
PDF    
Form 17 Release and Indemnity of All Claims  PDF    
Form 18 Request to Release Information  PDF   
Form 18R Request to Release Information (Registration Applications Only) PDF    
Form 19 Application for Enrollment as an Agent   PDF    
Form 20 Source and Application of Funds (Restricted Gaming License only) PDF    
Form 21 Application to Transfer Interest   PDF    
Form 27 3.015(2) Additional Requirements for Restricted Applications   PDF    
Form 28 Electronic Fingerprint Receipt  PDF  
        Electronic Fingerprint Instruction Memo PDF    
        Fingerprint Locations PDF   
Form 28A Fingerprint Background Waiver   PDF   
Key Employee Reporting (Reg 3.100)   
Form 3.100 Key Employee Reporting (Excel Spreadsheet) (09/11)   EXCEL 
Reg 3.100 Instructions (01/17)
PDF   
Race Book and/or Sports Pool     
Application Instructions for a Race Book and/or Sports Pool (5/16) PDF  
Race Book-Sports Pool Questionnaire PDF   
Book Wagering     
Book Wagering Report Instructions  PDF   
ENF-08 Book Wagering Report (7-12)   EXCEL 
ENF-123 BWR Cover Sheet  (7-12)   WORD 
ENF-123A Cover Sheet Continuation (7-12)   WORD 
ENF-123B Cover Sheet Continuation(7-12)   WORD 
Listed Patron Approval PDF   
Model Reserve Agreements  *   
Agreement Example  *  
Bond Example  *  
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.    
Suspicious Wager Report Instructions  PDF   
Suspicious Wager Report Form  PDF   
Regulation 5.200     
Reg 5.200 Registration of International Gaming Salon Employees PDF  
Foreign Gaming    
Operator Forms     
Foreign Gaming Reporting Requirements Policy Statement
(07-12-2018)
PDF  
FG-700 Notification Statement (07-17-09)   WORD
FG-710-1 Operation Statement (07-17-09)   WORD 
FG-710-2 Annual Report (07-17-09)   WORD 
FG-710-3 Quarterly Report (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  PDF  
Official Forms Instructions - Forms for use by Publicly Traded Corporations (03/06) PDF   
PTC-1 Application (03/06) PDF  WORD
PTC-2 Application for Registration or for Amendment to Order of Registration (03/06) PDF  WORD 
Form 17 Release and Indemnity of All Claims  PDF  WORD 
PTC-110 Application for Approval of a Public Offering (03/06) PDF  WORD 
PTC-115 Application for a Continuous or Delayed Public Offering ("shell") (09/06) PDF  WORD 
PTC-200 Application for Approval of and Acquisition of Control (03/06) PDF  WORD 
PTC-250 Application for Approval of a Plan of Recapitalization (03/06) PDF  WORD 
PTC-260 Application for Approval of Exceptional Repurchase of Securities (03/06) PDF  WORD 
PTC-310 Application for Approval of a Proxy Statement or Information Statement (03/06) PDF  WORD 
PTC-320 Application for Approval of Listing on a Securities Exchange (03/06) PDF  WORD 
PTC-430 Application for Waiver of NGC Reg. 16.430 as an Institutional Investor (03/06) PDF  WORD 

 

Tax and License Division Return to top
DOCUMENT PDF OTHER 
Regulation 5.210(1) Transactions    
Nonrestricted Licensee Request for Administrative Approval to Charge a Fee for Admission to an Area Gaming is Conducted (Rev. 07.01.15) PDF  
Drop and Count Forms     
Regulation 6.130(1)(a) Annual Drop and Count Schedule (Rev. 07.01.15) PDF EXCEL 
Regulation 6.130(1)(b) Count Team Personnel List (Rev. 07.01.15) PDF  EXCEL 
Regulation 6.130 Count - Removal Report Instructions (Rev. 07/11) PDF   
Regulation 6.150 Bankroll Formulas    
Bankroll Formula - Nonrestricted Licensees and Slot Route Operators   EXCEL
Bankroll Formula - Restricted licensees   EXCEL 
Bankroll Formula - OILS
  EXCEL
Bankroll Formula Information Page    
Regulation 8.130 Transactions     
Transaction Reporting Form   WORD
Instructions for Filing Forms PDF   
Supplemental Information Form WORD
Instructions for Filing Supplemental Information Forms PDF  
Tax Forms and Informational Filings     
Filing Deadlines PDF  
NGC-01 Monthly Gross Revenue Report (Rev. 04.01.18) PDF  EXCEL
NGC-02 Annual State License Fee Report Based on the Number of Games to be Operated – See Excel File for Fee Schedule (Rev. 04.01.18) PDF  EXCEL 
NGC-04 Annual Report of Slot Machines Taxes (Rev. 04.01.18) PDF  EXCEL 
Live Entertainment Tax Decision Chart - Analysis of Admission Charges Subject to Live Entertainment Tax
PDF
 
NGC-11 Live Entertainment Tax Report (Month of September 2015 and prior)
PDF  EXCEL 
NGC-11 Live Entertainment Tax Report (Month of October 2015 and beyond)  PDF
EXCEL
NGC-12 Live Entertainment Tax Report - Restricted Licensees (Quarter ending September 30, 2015 and prior)
PDF  EXCEL 
NGC-12 Live Entertainment Tax Report - Restricted Licensees (Quarter beginning October 1, 2015 and beyond)  PDF
EXCEL
NGC-13 Live Entertainment Tax Report Maximum Occupancy/Seating of at Least 7500 (Month of September 2015 and prior)
PDF  EXCEL 
NGC-14 Quarterly State License Fee Report - Restricted Licensees (Rev. 04.01.18) PDF  EXCEL 
NGC-15 Quarterly State License Fee Report - See Excel File for Fee Schedule (Rev. 04.01.18) PDF  EXCEL 
NGC-16 Holiday or Special Event Application (Rev. 04.01.18) PDF  EXCEL 
NGC-17 Standard Financial Statement    
Notice 2018-55 from Tax and License Chief Dan Douglas explaining this year's filing requirement PDF  
Notice 2017-59 from Tax and License Chief Frank Streshley explaining this year's filing requirement PDF
Uniform Chart of Accounts PDF  
NGC-17A Standard Financial Statement for Slot Machine Route Operator Licensees    
Notice 2018-56 from Tax and License Chief Dan Douglas explaining this year's filing requirement  PDF   
Notice 2017-60 from Tax and License Chief Frank Streshley explaining this year's filing requirement PDF  
NGC-18 Report of Quarterly Expired Slot Machine Wagering Vouchers and Payout Receipts (Rev. 04.01.18) PDF  EXCEL 
NGC-19A Manufacturer of Equipment Associated with Interactive Gaming License (Rev. 04.01.18) PDF  EXCEL 
NGC-19M Manufacturer of Interactive Gaming Systems License (Rev. 04.01.18) PDF  EXCEL 
NGC-19O Operator of Interactive Gaming License (Rev. 04.01.18) PDF  EXCEL 
NGC-19P Interactive Gaming Service Provider License (Rev. 04.01.18) PDF  EXCEL 
NGC-19S Service Provider License (Rev. 04.01.18) PDF  EXCEL 
NGC-20 Racing Information Disseminators Monthly Report - Informational Form (Rev. 04.01.18) PDF  EXCEL
NGC-20A Racing Information Disseminators Monthly Report (Rev. 04.01.18) PDF  EXCEL
NGC-21D Distributor's License (Rev. 04.01.18) PDF  EXCEL
NGC-21M Manufacturer's License (Rev. 04.01.18) PDF  EXCEL
NGC-21P Operator of a Pari-Mutuel System License (Rev. 04.01.18) PDF  EXCEL
NGC-25 Operator of a Slot Machine Route License (Rev. 04.01.18) PDF  EXCEL
NGC-25I Operator of an Inter-Casino Linked System License (Rev. 04.01.18) PDF  EXCEL 
NGC-25O Operator of a Mobile Gaming System License (Rev. 04.01.18) PDF  EXCEL
NGC-27 Operator of an Information Service License (Rev. 04.01.18) PDF  EXCEL
NGC-30 Monthly Gross Revenue Statistical Report Gaming Salon (Rev. 04.01.18) PDF EXCEL
NGC-31 Monthly Gross Revenue Statistical Report (Rev. 04.01.18) PDF  EXCEL 
NGC-31 Monthly Gross Revenue Statistical Report Instructions PDF   
NGC-31 Monthly Gross Revenue Statistical Report (Upload File)   EXCEL
NGC-32 Track Handle and Win Report PDF   
NGC-32 Instructions PDF   
NGC-36 Slot Route Operator Informational Report:
 
Column by Column Instructions (Rev. 07.01.15) PDF   
 Location Listing (All restricted and nonrestricted)    
Online Filing Instructions (Rev. 07.01.15) PDF   
Spreadsheet - XML File   EXCEL 
Slot Route Operator Informational Report - Paper Filers (Rev. 04.01.18)   EXCEL 
NGC-PMT-1 Pari-Mutuel Wagering Tax (Rev. 04.01.18) PDF  EXCEL
ER101 Monthly Condensed Financial Statements PDF   
Sample of Surety Bond for Gaming Establishment (updated 06/09) PDF   

 

Technology Division Return to top
DOCUMENT PDF OTHER
Associated Equipment     
Approval Process for Associated Equipment (2/10/2010) PDF  
Associated Equipment Matrix (1/2010) PDF  
Manufacturer's Request for Review (11/29/2007) PDF   
User's Request for Installation (11/29/2007) PDF   
Personal History Record PDF   
Form 18 Request to Release Information (05/04) PDF  WORD 
Associated Equipment Review Checklists     
Associated Equipment Manufacturer Submission Checklist  PDF   WORD 
Bingo System AE Review Checklist  PDF   WORD
Computerized Keno System AE Review Checklist  PDF   WORD 
ILS and Local Area Progressive AE Review Checklist  PDF   WORD 
LET Point of Sale Systems AE Review Checklist  PDF   WORD 
Race Sports and Pari-Mutuel AE Review Checklist  PDF   WORD 
Slots AE Review Checklist  PDF   WORD 
Table Games and Cage and Credit and Card Games AE Review Checklist  PDF   WORD 
Electronic Dissemination Authorization PDF  
Gaming Device/Cashless Wagering Requests     
Test Requirements for Gaming Devices used on Cashless Wagering Systems (06-11-02) PDF    
Gaming Device/Cashless Wagering System Approval Request PDF    
Gaming Device Modification Requests    
Gaming Device Software Modification Request Form (11/29/2007) PDF   
Gaming Device Hardware Modification Request Form (11/29/2007) PDF    
New Gaming Device Submissions    
New Gaming Device Submission Package PDF    
Software Problem/Malfunction Notification    
Gaming Device Software Problem/Malfunction Notification PDF    
System Based, System Supported, and Mobile Gaming Systems    
User's Request for Installation of a System Based, System Supported, or Mobile Gaming System PDF  
System Based, System Supported, and Mobile Gaming System Installation Request Submission Requirements (6/4/2009) PDF   

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Last updated: 8/23/2018 10:49:22 AM