Get Maintenance Of Format

The Maintenance Of Format is a crucial document designed for reporting issues related to video lottery machines. This guide provides clear instructions on how to effectively complete this form online, ensuring you provide all necessary information accurately.

Follow the steps to successfully complete the Maintenance Of Format.

1. Click the ‘Get Form’ button to access the Maintenance Of Format electronically and view it in your online editing tool.
2. Begin filling out the form by entering your DBA name, which identifies your business or organization operating the video lottery machine.
3. Input the Lottery Retailer (LR) or Lottery Operator (LO) number associated with your machine.
4. Provide the location address of the machine, ensuring to include the full address details.
5. Next, fill in the county, city, and West Virginia zip code related to the machine's location.
6. If applicable, enter the name of the operator responsible for the machine in the designated field.
7. List the telephone number associated with the operator or location.
8. Record the terminal serial number and VGM number to identify the specific machine involved.
9. Complete the poll address section with relevant details regarding the machine's polling location.
10. Input the manufacturer name and the software version currently installed on the machine.
11. Describe the specific problem encountered with the machine to provide context for service.
12. Enter the date the machine failed and the total credits left on the machine at the time of failure.
13. Indicate if there are credits left on the machine by selecting 'Yes' or 'No,' and specify the number of credits if applicable.
14. Have the technician sign and date the form in the provided areas, along with their contact information.
15. The WVL Computer Room also needs to sign and date the report. Make sure this is completed before final submission.
16. Include a brief description of the work performed to resolve the reported issue on the machine.
17. Fill in the logic seal numbers, including any that were removed or newly installed.
18. Once all fields are completed, review the document for accuracy and completeness.
19. Users can then save changes, download, print, or share the completed form as needed.

Complete your Maintenance Of Format online and ensure your video lottery machine is well-maintained.