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EMPLOYEE CREDENTIAL
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Form #
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Document Name
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1
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Personal History Disclosure Form 3 – Casino Employee Registration UPDATED March 3, 2023
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2
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Casino Employee License Conversion Application No Longer In Use |
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3
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Request to Determine Employment or Reapplication Eligibility |
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4
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License Application Request Form |
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5
(And 43 And 63)
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Credit Card Authorization |
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6
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Change of Name or Address Form |
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7
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Request for Copy of Registration Credential |
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8
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Notice of Right to Division Hearing |
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9
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Link to Right to Appeal to Casino Control Commission |
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10
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Temporary Casino Key Employee Licensure UPDATED December 3, 2020 |
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CASINO LICENSE
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Form #
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Document Name
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20
(And 32)
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Multi-Jurisdictional Personal History Disclosure Form |
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21
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New Jersey Supplemental Form to the Multi-Jurisdictional Personal History Disclosure Form – Casino Qualifiers and Casino Key Employee Qualifiers UPDATED March 3, 2023
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22
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Personal History Disclosure Resubmission Form – Casino Qualifiers UPDATED September 11, 2020 |
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23
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Business Entity Disclosure Form – Casino Company and Casino Holding and Intermediary Company |
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24
(And 37)
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Institutional Investor Certification |
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25
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Personal History Disclosure Form 1 – Casino Qualifiers UPDATED March 3, 2023
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26
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Initial Internet Gaming Permit Application |
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27
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Request for Relief From or Waiver of Internet Gaming Requirement |
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28
(And 45)
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Internet Gaming Disclosure Statement Form |
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29
(And 31B)
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Multi-Jurisdictional Business Form |
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29A
(And 31C)
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New Jersey Supplemental Form to the Multi-Jurisdictional Business Form – Casino Company Casino Holding and Intermediary Company |
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ENTERPRISE LICENSE
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Form #
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Document Name
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30
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Instructions for Filing an Application for a Casino Service Industry Enterprise License |
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30A
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Instructions for Filing an Application for an Ancillary Casino Service Industry Enterprise License |
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31
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Business Entity Disclosure Form – Casino Service Industry Enterprise License |
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31A
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Business Entity Disclosure Form – Ancillary Casino Service Industry Enterprise License |
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31B
(And 29)
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Multi-Jurisdictional Business Form |
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31C
(And 29A)
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New Jersey Supplemental Form to the Multi-Jurisdictional Business Form – Casino Company Casino Holding and Intermediary Company |
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32
(And 20)
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Multi-Jurisdictional Personal History Disclosure Form |
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32A
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Personal History Disclosure Form – Ancillary Casino Service Industry Enterprise UPDATED March 3, 2023 |
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33
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New Jersey Supplemental Form to the Multi-Jurisdictional Personal History Disclosure Form – Casino Service Industry Enterprise Qualifiers UPDATED March 3, 2023 |
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34
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Personal History Disclosure Form 2 – Outside Directors of Holding and Intermediary Companies of Casino Service Industry Enterprises UPDATED March 3, 2023
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35
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Casino Service Industry Enterprise – Qualifier Resubmission Disclosure Form UPDATED March 3, 2023
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36
(And 56)
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Equal Opportunity and Affirmative Action Obligations – Casino Service Industry Applicants/Licensees |
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37
(And 24)
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Institutional Investor Certification |
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38
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Labor Organization Registration Statement |
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39
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Labor Organization Individual Disclosure Form UPDATED March 3, 2023 |
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40
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Vendor Registration Form – Contact the casino you are doing business with for this form. |
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41
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Vendor Registration Supplemental Disclosure Form
UPDATED January 29, 2018 |
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42
|
Non-Supervisory Employee(s) of a Junket Enterprise – Registration Form
UPDATED January 29, 2018 |
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43
(And 5
And 63)
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Credit Card Authorization |
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44
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Request for Removal from Prohibited Vendor List For Failure to Timely File Supplemental Disclosure Form |
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Internet Gaming Disclosure Statement Form |
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Affiliate Due Diligence Certification |
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Affiliate Due Diligence Letter |
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CASINO HOTEL ALCOHOLIC
BEVERAGE LICENSE
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Form #
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Document Name
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50
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Instructions For Obtaining an Initial Casino Hotel Alcoholic Beverage License or Filing For Resubmission |
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51
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Casino Hotel Alcoholic Beverage – License Application |
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52
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Casino Hotel Alcoholic Beverage – License Resubmission |
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53
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Casino Hotel Alcoholic Beverage Licensee – Business Entity Disclosure Form |
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54
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Casino Hotel Alcoholic Beverage Licensee – Business Entity Disclosure Form – Holding Company |
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55
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Casino Hotel Alcoholic Beverage Licensee – Qualifier Disclosure Form |
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56
(And 36)
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Equal Opportunity and Affirmative Action Obligations – Casino Service Industry Applicants/Licensees |
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57
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Casino Hotel Alcoholic Beverage – Social Affair Permit Application |
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58
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Casino Hotel Alcoholic Beverage – Consumer Alcoholic Beverage Tasting Permit Application |
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59
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Casino Hotel Alcoholic Beverage – Special Disposal Permit Application |
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60
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Casino Hotel Alcoholic Beverage – Temporary Miscellaneous Contingency Permit Application |
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61
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Casino Hotel Alcoholic Beverage – Donation Permit Application |
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62
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Casino Hotel Alcoholic Beverage – Merchandising Permit Application |
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63
(And 5 And 43)
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Credit Card Authorization |
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64
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Casino Hotel Alcoholic Beverage Licensee – Submission By a Casino Licensee For a Temporary Type III Authorization |
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Form #
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Document Name
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70
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Request for Voluntary Self-Exclusion from Casino Facilities Including Internet Gaming Activities; or Internet Gaming Only UPDATED May 17, 2023
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71
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Request for Removal from Voluntary Self-Exclusion List UPDATED May 17, 2023 |
TECHNICAL SERVICES BUREAU
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72
|
|
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73
|
|
|
74
|
|
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FINGERPRINTING INFORMATION
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75
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Instructions for Completing Fingerprinting for Out-of-State and Out-of-Country Applicants UPDATED October 25, 2023
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Gaming Dispute Forms
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76
|
Internet Gaming Dispute Form |
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77
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Patron Complaint Form |
