Video Poker Licensing Forms
New Applicants
- Application (DPSSP 0031) & Instructions
- Release of all Claims (DPSSP 0035)
- Request to Release Information (DPSSP 0037)
- Affidavit of Full Disclosure (DPSSP 0036)
- Personal History Questionnaire (DPSSP 0032)
- Personal Financial Questionnaire (DPSSP 0033)
Renewal Applicants
- Renewal Application (DPSSP 0049) & Instructions
- Individual Consent to Disclosure of Tax Information (Federal & State)
- Company Consent to Disclosure of Tax Information (Federal & State)
- Renewal Affidavit/Certification (DPSSP 0051)
Miscellaneous Poker Forms
- Annual Licensee Form (DPSSP 6643)
- Licensee Application Affidavit/Certification (DPSSP 0051A)
- Stock Transfer
- Multiple Use Reporting Form (DPSSP 6600)
