Forms

The Commission uses a number of approved forms for applications, returns, revenue collection and complaints. Make your selection below.

>

Privacy Statement

PDF document link (79KB) Link to ACT Gambling & racing Commission Privacy Statement (68KB)
 

Race and Sports Bookmaking

Application for a Race Bookmaking Licence

Application for Race Bookmaking Licence (PDF) (429KB) Application for Race Bookmaking Licence (RTF) (827KB)

Application for a Race Bookmaker's Agent Licence

Application Race Bookmakers Agent (PDF) (374KB) Application Race Bookmakers Agent (RTF) (737KB)

Sports Bookmaking Licence Application

Sports Bookmaking Licence Application (PDF) (415KB) Sports Bookmaking Licence Application (RTF) (799KB)

Application for a Sports Bookmaker's Agent Licence

Application for a Sports Bookmaker's Agent Licence (PDF) (365KB) Application for a Sports Bookmaker's Agent Licence (RTF) (708KB)

Race Bookmaker Quarterly Tax Return

Bookmaker Quarterly Tax Return (PDF) (239KB) Bookmaker Quarterly Tax Return (RTF) (454KB)

Sports Bookmaker's Monthly Tax Return

Sports Bookmaker's Monthly Tax Return (Excel) (56KB)

 

Sports Betting Dispute Form

Sports Betting Dispute Form (PDF) (53KB) Sports Betting Dispute Form (RTF) (12.1KB)

Application to Use ACT Race Field Information

Application to use ACT Race Field Information (114KB) Application to use ACT Race Field Information (581KB)

Gaming Machines

Application for Initial Gaming Machine Licence Initial Gaming Machine License Application Initial Gaming Machine License Application
Application for Gaming Machine Acquisition Initial Gaming Machine License Application Initial Gaming Machine License Application

Application for Gaming Machine Technical Amendment - Gaming Machine Replacement

Gaming Machine Replacement Form Gaming Machine Replacement Form

Application for Gaming Machine Technical Amendment - Gaming Machine Conversion

Gaming Machine Conversion Form

Gaming Machine Conversion Form

Application - Decrese Gaming Machine Amendment

Decrease Gaming Machine Amendment Form

Decrease Gaming Machine Amendment Form

Application - Large Scale Machine Relocation 

Large Scale Machine Relocation Application Large Scale Machine Relocation Application

Application - Small Scale Machine Reloaction 

Small Scale Machine Relocation Application Small Scale Machine Relocation Application

Application - New Venue Amendment 

New Venue Amendment Application New Venue Amendment Application

Application - Structural Change Amendment 

Stuctural Change Amendment Application Stuctural Change Amendment Application

Application - Venue Relocation Amendment 

Venue Relocation Amendment Application Venue Relocation Amendment Application

Application - Temporary Storage Amendment 

Application Temporary Storage Amendment Application Temporary Storage Amendment

Application - In-principle approval for a venue relocation amendment 

In-principle approval for a venue relocation amendment In-principle approval for a venue relocation amendment

Application - In-principle approval for a new venue amendment 

Application - In-principle approval for a new venue amendment  Application - In-principle approval for a new venue amendment 
Application - In-principle application for a Gaming Machine Licence Application - In principle application for a Gaming Machine Licence Application - In principle application for a Gaming Machine Licence
Application - Amend In-principle approval - Remove or Change a Condition Application - In principle application for a Gaming Machine Licence Application - In principle application for a Gaming Machine Licence
Application - Amend In-principle approval - Increase or Decrease the Number of Reserved Gaming Machines Application - In principle application for a Gaming Machine Licence Application - In principle application for a Gaming Machine Licence

Statutory Declaration for an Eligible Person

ACT GovernmentExternal link

 

 

 

 

Application To Transfer Licence - Club

ACT GovernmentExternal link

Application To Transfer Licence - Hotel/Tavern

ACT GovernmentExternal link

 

 

 

 

 

 

Machine Access Register

ACT GovernmentExternal link

Approved form Machine Access Register (Excel) (204KB)

Gaming Machine Installation Certificate

ACT GovernmentExternal link

Gaming Machine Installation Certificate (Excel) (171KB)

Application for Authorisation to Operate a Linked Jackpot Arrangement

ACT GovernmentExternal link

Application to Operate Linked Jackpot (60KB)

 

 

Application for Multi-user Permit to Operate a Linked Jackpot Arrangement

ACT GovernmentExternal link

Application for Transfer of a Multi-user Permit for a Linked Jackpot Arrangement

ACT GovernmentExternal link

Application for Amendment to a Multi-user Permit for a Linked Jackpot Arrangement

ACT GovernmentExternal link

Application to Increase the Number of
Gaming Machines - Club

ACT GovernmentExternal link

Application For Disposal of a Gaming Machine

ACT GovernmentExternal link

Application For Repossession of a
Gaming Machine

ACT GovernmentExternal link

     

Tax

Monthly Gaming Machine Return - Club

ACT GovernmentExternal link

Gaming Machine Return - Clubs (146KB)

Monthly Gaming Machine Return  - Hotel/Tavern

ACT GovernmentExternal link

Gaming macjine Return Hotel Tavern (146KB)
     

Community Contributions

Community Contributions Information - Financial Report by a Club

Community Contributions by Club (370KB)

Community Contributions Information - Financial Report by a Hotel or Tavern

Community Contributions by Tavern/Hotel(413KB)
     

Attendant/Technician Certificates

Application for an Approved Attendant Certificate

Application for an Approved Attendant Certificate (178KB)

Application for an Approved Technician Certificate

Application for an Approved Technician Certificate (179KB)

Application for Renewal of an Approved Attendant/Technician Certificate

Application for Renewal of an Approved Attendant/Technician Certificate (145KB)

Application to Transfer/Amend Approved Attendant/Technician Certificate

Application to Transfer/Amend Approved Attendant/Technician Certificate (64KB)
     

Manufacturer

Application for Approval of New Gaming Machine  and Peripheral Equipment

ACT GovernmentExternal link

Application For Approval as a Supplier

ACT GovernmentExternal link

 

Lotteries

Trade Promotion Application Form

Trade Promotion Application Form (PDF) (43KB) Trade Promotion Application Form (Excel)(60KB)

Raffle Application Form

Raffle Application Form (PDF) (43KB) Raffle Application Form (RTF)(484KB)

Housie Application Form

Housie Application Form (PDF) (83KB) Housie Application Form (RTF)(263KB)

Calcutta Application Form

Calcutta Application Form (PDF) (43KB) Calcutta Application Form (RTF)(1.5MB)

Card Jackpot Raffle Application Form

Card Jackpot Raffle Application Form (PDF)(85KB) Card Jackpot Raffle Application Form (RTF)(1.5MB)

Amendment Form

Amendment Form Lotteries (PDF)(88KB) Amendment Form Lotteries (RTF)(266KB)

Lucky Envelope Raffles

Lucky Envelope Application Form(365KB) Lucky Envelope Application Form(43KB)

 

Charitable Gaming

 

 

Application for Approval to Conduct a Game

Charitable Gaming - Application to Conduct Game (PDF) (216KB) Charitable Gaming - Application to Conduct Game (RTF) (551KB)

 

 

 

Exclusion

Deed of Exclusion

ACT GovernmentExternal link

Exclusion by Licensee

ACT GovernmentExternal link

 

 

 

Other

Notification of Change of Address

PDF document link (95KB) RTF document link (477KB)

Statutory Declaration (Can be found by clicking on the link to the Australian Governmnet Attorney Generals Department Website)

www.ag.gov.au Link to Attornet Generals Statutory Declaration Form


Click below for the free Adobe PDF reader:

Link to Adobe Reader download page

Top of page