Forms

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

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Privacy Statement

PDF document link (79KB) RTF document link (52KB)
 

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)

 

 

 

Casino

Statutory Declaration Form

Statutory Declaration Form (PDF) (25KB) Statutory Declaration Form (RTF) (18KB)

Change of Address Notification Form

Change of Address Notification Form (PDF) (26KB) Change of Address Notification Form (RTF) (477KB)

 

 

 

Gaming Machines

Licences

Application for Initial Licence - Club

ACT GovernmentExternal link

Application for Initial Licence - Hotel & Tavern

ACT GovernmentExternal link

Statutory Declaration for an Eligible Person

ACT GovernmentExternal link

 

 

 

Licence Changes

Application To Transfer Licence - Club

ACT GovernmentExternal link

Application To Transfer Licence - Hotel/Tavern

ACT GovernmentExternal link

Application to Change Licensed Premises

ACT GovernmentExternal link

 

 

 

Gaming Machines

 

 

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 Technical Licence Amendment - Machine Conversion

ACT GovernmentExternal link

Application Technical Licence Amendment (Excel) (58KB)

Application for Technical Licence Amendment - Replace a Gaming Machine and Dispose of a Gaming Machine - Trade-Ins

ACT GovernmentExternal link

Application to Replace/Dispose Gaming Machine (Excel) (66KB)

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)

 

 



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