Illinois Gaming Board
Bruce Rauner •
Governor
Don Tracy •
Chairman
Mark Ostrowski •
Administrator
Video Gaming Applications and Forms
Location Application and Forms
Location License Web Application
(for help, see the
Location Application FAQs
)
Affidavit for Truck Stop Location Applicants
(To be presented to the agent at the site inspection)
Withdrawal of Location License Application
Surrender of Location License Application
Forms and materials pertaining to the U.S. Gambling Devices Act Of 1962 can be found at the
U.S. Department of Justice
. For your convenience, you may access the information through the following links:
Request for Registration
Tips on Completing a Registration Request
Frequently Asked Questions
Gambling Devices Act of 1962 Information Sheet
Technician / Terminal Handler Application
Technician / Terminal Handler License Application
Manufacturer / Distributor / Supplier / Terminal Operator Applications and Forms
Applications
Manufacturer / Distributor / Supplier License Application
Terminal Operator License Application
Disclosure Forms
Personal Disclosure Form
Business Entity Disclosure Form
Business Entity Disclosure Short Form
Trust Disclosure Form
Institutional Investor Disclosure Form
Miscellaneous Forms
Terminal Operator ACH Authorization Form
Terminal Operator Sales Agent/Broker Update (an amendment to Exhibit 8D of the Terminal Operator Application)
Affidavit of Residency
Terminal Operator Quarterly Analysis Template
Cash Flow Projections Template
Net Worth Summary and Schedules Template
Summary of Document Submissions Checklist
Individual Tax Affidavit
Business Tax Affidavit
IRS Transcript Help
Transport Request Forms
Request To Transfer System
VGT Transport Notice for Interstate Transport or Trade Show Events
Software Transport Notice
Terminal Collateral Lender Registration Form
Terminal Collateral Lender Registration
Illinois Gaming Board
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Riverboat Gambling
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Board Exclusion List
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Frequently Asked Questions (FAQ)
Video Gaming
Applicable Law & Standards
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Applications & Forms
Lists of Video Gaming Applicants & Licensees
Disclosure Statements
Municipalities Prohibiting Video Gaming
Frequently Asked Questions (FAQ)
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