Appendices and Forms

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Internal Revenue Service - Request for Transcript of Tax Return Form (Key Employee Use)

General Licensing Information

Title	Posted
Background Investigation Checklist \| P3-14.0	05/23/2012
Checklist and Process of Employee Information - New Hires \| P2-14.0	05/23/2012
License and Application Fees \| P1-14.0	09/12/2012
Appeals to Commission - Electronic Gaming Section \| P1-12.24	11/18/2009

Franchise Holder

Title	Posted
Instructions for Franchise Holder Application \| P2-12.0	05/23/2012
Franchise Holder Application \| P1-12.0	05/23/2012
Franchise Holder Application Supplement \| P4-12.0	11/18/2009
Franchise Holder Authorization for Release of Information \| P5-12.0	05/23/2012
Process for Receipt and Approval of Franchise Holder’s Application \| P3-12.0	11/18/2009
Franchise Holder Application Checklist \| P6-12.0	05/24/2012
Franchise Holder Renewal Application \| P1-12.1	10/26/2012

Franchise Holder - General Employee

Title	Posted
Renewal Application	04/04/2013
Instructions for General Employee License Application \| P8-14.1	11/30/2011
General Employee License Application \| P7-14.1	07/16/2012
Authorization for Release of Information \| P9-14.1	11/18/2009
General Employee Photo ID Form \| P10-14.1	11/18/2009
Process for Receipt and Approval of General Employee's Application \| P1-14.1	11/18/2009

Franchise Holder - Key Employee

Title	Posted
Renewal Application	04/04/2013
Instructions for Key Employee License Application \| P4-14.1	12/04/2012
Key Employee License Application \| P3-14.1	11/30/2011
Key Employee Authorization for Release of Information \| P5-14.1	11/18/2009
Key Employee Photo ID Form \| P6-14.1	11/18/2009
Process for Receipt and Approval of Key Employee's Application \| P2-14.1	11/18/2009

Manufacturer/Distributor of Games

Title	Posted
Game Manufacturer/Distributor General Employee License \| P9-13.9	09/12/2012
Instructions for Manufacturer/Distributor of Games License Application \| P4-13.4	09/12/2012
Manufacturer/Distributor of Games License Application \| P3-13.4	11/18/2009
Authorization for Release of Information \| P5-13.4	11/18/2009
Approval of Rules of Play \| P1-11.1	10/01/2012
Gaming Device Shipment Notification \| P1-24.1(c)	10/04/2012
Manufacturer/Distributor - General Employee License Application \| P7-13.9	11/30/2011
Manufacturer/Distributor - Key Employee License Application \| P8-13.9	11/30/2011

Service Industry Company

Title	Posted
Instructions for Service Industry Company License Application \| P2-13.4	11/01/2011
Service Industry License Application \| P1-13.4	11/01/2011
Authorization for Release of Information \| P5-13.4	11/18/2009

Service Industry - General Employee

Title	Posted
Instructions for Service Industry Company - General Employee License Application \| P2-13.9	11/30/2011
Service Industry - General Employee License Application \| P1-13.9	11/30/2011
Employee Photo ID Form \| P5-13.9	11/18/2009
Authorization for Release of Information \| P9-14.1	11/18/2009

Service Industry - Key Employee

Title	Posted
Instructions for Service Industry - Key Employee License Application \| P4-13.9	11/30/2011
Service Industry - Key Employee License Application \| P3-13.9	11/04/2011
Employee Photo ID Form \| P5-13.9	11/18/2009
Authorization for Release of Information \| P9-14.1	11/18/2009