Gambling Control Board

Key Executive or Licensed Employee Renewal Application

Sign the Applicant’s Request to Release Information form in the presence of a notary public, justice of the peace, or other person legally authorized to notarize your signature.

Sign the Affirmation and Consent in the presence of a notary public, justice of the peace, or other person legally authorized to notarize your signature.

Include all required attachments listed in this form including the preceding year’s tax returns.

Answer every question truthfully and in its entirety.

Retain a completed copy of your application package for your own records.

Include a copy of the completed application in a CD format.

Include the Employee Renewal Application fee of $25.

Key Executives fee are covered under the Business Entity Renewal fee.

 

Renewal Applications

 

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