Get Table Games Supplier Application (pdf) - West Virginia Lottery

This guide provides clear and helpful instructions for users on how to fill out the Table Games Supplier Application for the West Virginia Lottery. Understanding each component of the application will ensure a smoother process in obtaining your gaming-related supplier license.

Follow the steps to complete your application effectively.

1. Press the ‘Get Form’ button to access the application form. You can then open the document to begin filling it out.
2. Start by entering the name of the applicant as it appears on the official documents. Include any Doing Business As (D/B/A) information if applicable, and ensure you provide documentation for registered D/B/A names.
3. Fill in the business address, telephone number, fax number, website, and identification numbers. Ensure these details are accurate for processing.
4. In Part 1, specify the business structure (e.g., corporation, partnership). If applicable, disclose whether the applicant is a publicly traded company and provide information on institutional investors holding 5% or more interest.
5. In subsequent parts of the application, answer questions relating to ownership interests, government regulation, debt, and criminal history. Complete each section thoroughly and honestly, adding additional pages if necessary.
6. Provide the required disclosures as needed, including Personal Disclosure or Business Disclosure Forms for individuals involved with the applicant, such as officers, directors, and significant stakeholders.
7. After completing all sections and ensuring accuracy, review the application for any omissions or errors before saving, downloading, or printing the completed form.
8. Finally, submit the completed application along with any required exhibits in the specified format, and retain copies for your records.

Complete your application online today to ensure your gaming-related supplier license with the West Virginia Lottery.