Get Pull Out Form

The Pull Out Form is essential for notifying the Gaming Licensing and Development Department (GLDD) about the pullout and transfer of gaming equipment and paraphernalia. This guide provides a step-by-step approach to complete the form online efficiently.

Follow the steps to complete the Pull Out Form.

1. Click the ‘Get Form’ button to obtain the Pull Out Form and open it in your designated editor.
2. In the first section, fill in the name of the Supplier, the date, permit number, permit validity, and storage facility address. Accuracy in these details is crucial for processing your form.
3. Next, complete Section A, which is for the Transfer of Gaming Equipment. Indicate the type of gaming equipment or paraphernalia that you are pulling out and transferring. Select the applicable boxes for the specific items.
4. Provide a detailed inventory list of items for pullout and transfer in the designated area. Ensure that you include descriptions and quantities of each item.
5. Specify the reason for the pullout and transfer in the provided section. This information is necessary for compliance with regulations.
6. Fill out the confirmation of accountability section with the name and signature of the Supplier’s authorized representative to affirm compliance with regulations.
7. Complete Section B with the recipient of the transferred items confirming accountability. Include their name, position title, and signature.
8. After filling out Sections A and B, make sure to attach any necessary supporting documents and submit the form to GLDD by the specified means. This includes either mailing it to the physical address or emailing a scanned copy.
9. If you submit via email, confirm receipt and acknowledgment from GLDD to ensure your notification has been received.
10. Finally, once everything is submitted and acknowledged, you may choose to save changes and download a copy for your records.

Complete your Pull Out Form online today to ensure compliance with gaming regulations.