Get Egm Cashless Verification Submission Form - Mississippi Gaming ...

Filling out the EGM Cashless Verification Submission Form accurately is crucial for ensuring compliance with Mississippi Gaming regulations. This guide provides step-by-step instructions to help you complete the form effectively and submit it online.

Follow the steps to fill out the EGM Cashless Verification Submission Form successfully.

1. Click ‘Get Form’ button to obtain the EGM Cashless Verification Submission Form and open it in your preferred editor.
2. In the ‘Manufacturer / Distributor Information’ section, fill in the following fields: Manufacturer / Distributor Name, Address, City, State, Zip Code, Contact Person, Position / Title, Phone Number, Fax Number, E-mail, and Mississippi Manufacturer and/or Distributor License Number.
3. Proceed to the ‘Submission Information’ section. Here, specify the submission type by selecting ‘New’, ‘Upgrade’, or ‘Modification’. Include the name of the MGC testing facility receiving the submission, the name of the EGM hardware platform, version number, name of the EGM game, EPROM identifier, software version, firmware version, device type, device position, CRC, ticket printer type, and ticket printer firmware version. Fill in any additional information under 'Other'.
4. If you indicated an upgrade or modification in the previous step, provide the most recent approval information in the corresponding fields: Name of EGM/Game, version number, approval date, model number, and MGC reference number.
5. In the certification section, ensure you sign and provide your title/position, MGC reference number, and date to certify the information provided.
6. Once you have completed all required sections, save the changes you made to the form. You can then download, print, or share the form as needed.

Complete your documents online confidently and accurately!