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) RTF document link(52.7KB)
 

 

Bookmaking 

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)
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 PDF document (84KB)
     

Casino

Statutory Declaration Form Statutory Declaration Form (PDF)(25.1KB) Statutory Declaration Form (RTF)(18KB)
Change of Address Notification Form Change of Address Notification Form (PDF)(26.5KB) 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

Approved form Machine Access Register (PDF)
(36KB)
Approved form Machine Access Register (Excel)
(204KB)
Approved form Machine Access Register (RTF)
(340KB)

Application for Technical Licence Amendment - Machine Conversion

Application Technical Licence Amendment (PDF)
(70KB)
Application Technical Licence Amendment (Excel)
(58KB)
Application Technical Licence Amendment (RTF)
(948KB)

Application for Authorisation to Operate a Linked Jackpot Arrangement

Application to Operate Linked Jackpot (PDF)
(63KB)
Application to Operate Linked Jackpot
(60KB)
Application to Operate Linked Jackpot (RTF)
(845KB)

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

Application to Replace/Dispose Gaming Machine (PDF)
(72KB)
Application to Replace/Dispose Gaming Machine (Excel)
(66KB)
Application to Replace/Dispose Gaming Machine (RTF)
(961KB)

Gaming Machine Installation Certificate

Gaming Machine Installation Certificate (PDF)
(44KB)
Gaming Machine Installation Certificate (Excel)
(171KB)
Gaming Machine Installation Certificate (RTF)
(632KB)

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 Tax Return - Club

ACT GovernmentExternal link

(180KB)

Monthly Gaming Machine Tax Return - Hotel/Tavern

ACT GovernmentExternal link

(180KB)
     

Community Contributions

Community Contributions Information - Financial Report by a Club

Community Contributions Information - Financial Report by a Club (PDF)
(315KB)

Community Contributions Information - Financial Report by a Club (Excel)
(370KB)

Community Contributions Information - Financial Report by a Club (RTF)
(452KB)

Community Contributions Information - Financial Report by a Hotel or Tavern

Community Contributions Information - Financial Report by a Hotel or Tavern (PDF)
(137KB)
Community Contributions Information - Financial Report by a Hotel or Tavern (Excel)
(413KB)
Community Contributions Information - Financial Report by a Hotel or Tavern (RTF)
(422KB)
     
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 Certificate179(KB)

Application for Renewal of an Approved Attendant/Technician Certificate

Application for Renewal of an Approved Attendant/Technician Certificate145(KB)

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 

ACT GovernmentExternal link

Application for Approval of New 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)(83.7KB) 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)(390KB) Card Jackpot Raffle Application Form (RTF)(1.5MB)
Amendment Form Amendment Form Lotteries (PDF)(88.7KB) Amendment Form Lotteries (RTF)(266KB)
   
     

Exclusion Forms

Deed of Exclusion

ACT GovernmentExternal link

Exclusion by Licensee

ACT GovernmentExternal link

     
     

Other Forms

Notification of Change of Address PDF document link(95KB) RTF document link(477KB)
 

 



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