We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Gaming Service Provider Certification Application And Disclosure ... - Gamingcontrolboard Pa

Get Gaming Service Provider Certification Application And Disclosure ... - Gamingcontrolboard Pa

Y 5, 2004 (P.L. 572, NO. 71) THE PENNSYLVANIA RACE HORSE DEVELOPMENT AND GAMING ACT (ACT) AS AMENDED AND 58 PA. CODE PART VII, GAMING CONTROL BOARD (REGULATIONS). THE ORIGINAL FORM, ONE PAPER COPY, AND TWO (2) COMPACT DISCS (CD) CONTAINING ALL FORMS MUST BE SENT TO THE PENNSYLVANIA GAMING CONTROL BOARD, BUREAU OF LICENSING, 303 W ALNUT STREET, FIFTH FLOOR, VERIZON TOWER, HARRISBURG, PENNSYLVANIA 17101 WITH THE APPROPRIATE FEE. PLEASE REFER TO THE LICENSING SECTION OF THE BOARD S WEBSITE FOR CD.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to use or fill out the Gaming Service Provider Certification Application And Disclosure online

This guide provides a structured approach to completing the Gaming Service Provider Certification Application And Disclosure for the Pennsylvania Gaming Control Board. Following these steps will ensure that you submit a complete and accurate application online.

Follow the steps to fill out your application effectively.

  1. Click 'Get Form' button to obtain the form and open it in your chosen document editor.
  2. Begin by reading through the instructions provided on the form carefully. Understanding these guidelines is crucial to ensure that all necessary information is included.
  3. Fill in the applicant information section. Include the business name as it appears in official documents, the principal address, and contact details. Ensure that the information is accurately typed or printed in block lettering.
  4. Complete the section regarding the form of organization, checking the appropriate box for your business structure such as sole proprietorship or corporation.
  5. Provide mandatory background information and disclosures on your business, including its ownership, and any past or pending litigation, as well as any licenses and permits held.
  6. For every employee conducting business with a slot machine licensee, complete their personal history disclosure forms, ensuring full compliance with requirements.
  7. Attach all necessary appendices and documents as indicated in the application checklist. Double-check that the mandatory items are completed and included.
  8. Review all sections for accuracy and completeness. Make sure that all required signatures and initials are present. If using additional pages, indicate the corresponding question numbers.
  9. Once you have completed the form, save all changes made. Prepare to download, print, or share the completed application as needed.

Start your application today and ensure all documents are submitted online for processing.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

GAMING SERVICE PROVIDER CERTIFICATION ...
. EACH INDIVIDUAL LISTED BELOW IS REQUIRED TO COMPLETE A PENNSYLVANIA PERSONAL. HISTORY...
Learn more
58 Pa. Code § 1405a.2 - Sports wagering gaming...
1(c) (relating to general sports wagering gaming service provider requirements), shall...
Learn more
ADOPTED ANNUAL BUDGET
Jun 30, 2018 — The estimated annualized non-gaming economic impact of increased air...
Learn more

Related links form

Affidavit Of Spouse/Dependent Children Eligibility - Catholiccincinnati Magicgatebg Open Park Event Contract.doc Meeting Mechanics

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Under the law, gaming employees are not permitted to have a felony conviction within the past 15 years. The type and severity of any felony beyond 15 years ago will be considered when making recommendations for approval and denial.

License application fee of $1 million for skill game distributors. $25,000 fee for operators. $250 fee for establishments. Yearly renewal fee structure.

The Pennsylvania Gaming Control Board is an independent state agency tasked with protecting the public's interest through the regulation of and internet-based gambling, sports wagering, video gaming terminal (VGT) gambling, and fantasy sport games. It performs this task at no taxpayer expense.

Many of the positions at the require a gaming license which can take up to 6 weeks for the state of Pennsylvania to approve.

The fee for an annual license valid for one year from the date specified $125.00. The fee for a monthly license valid for 30 consecutive days is $25.00 beginning on the date specified.

Taxes and Fees: Interactive gaming operators must pay a license fee varying from $4m to $10m, with a renewal fee of $250,000 after five years. Online sports-betting operators must pay a separate license fee of $10m, with a renewal fee of $250,000 after five years.

A company contracted with a licensee, or an entity qualified to operate interactive gaming on the certificate holder's behalf, must apply for an interactive gaming operator license and pay a one-time $1m license fee.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Gaming Service Provider Certification Application And Disclosure ... - Gamingcontrolboard Pa
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232