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Forms
Forms
Select the application form or other documents on this page if
- applying for changes to gaming machine arrangements in a licensed premises
- applying for a gaming-related licence
- needing information about financial arrangements for the acquisition of gaming machines
- implementing a self-exclusion deed.
Documents are being revised to reflect a recent name change to the Independent Liquor & Gaming Authority. Documents which refer to the former name (Casino, Liquor & Gaming Control Authority) can be used pending the updates.
To view documents in portable document format (PDF) you will need to have the Adobe Reader installed on your computer. If you do not have this software installed you can download it for free from the Adobe Web site ![]()
* fact sheets available.
Club gaming forms
- 858C Poker Machine Entitlement transfer - no gaming machine threshold inc required (77 kb)
- 844 Gaming machine threshold increase (63kb)*
- 849 Gaming machine threshold inc - where LIA is required (64 kb)
- 841 Gaming machine threshold inc - registered club in new development area Class 1 LIA (65 kb)*
- 845 Gaming machine threshold inc - removal of licence within a LGA - no LIA required (63 kb)*
- 848C Gaming machine threshold inc - removal of registered club where LIA required (63 kb)*
- 857C Gaming machine threshold inc with poker machine entlmnt transfer - regd club (79 kb)*
- 859 Poker machine entitlement transfer - related premises of a registered club (66 kb)
Hotel gaming forms
- 844 Gaming machine threshold increase (63 kb)*
- 849 Gaming machine threshold increase - where LIA is required (64 kb)
- 848H Gaming machine threshold increase - removal of hotel licence where LIA required (64 kb)
- 845 Gaming machine threshold increase - removal of licence within LGA - no LIA required (63 kb)*
- 857H Gaming machine threshold inc with poker machine entitlement transfer - hotel (78 kb)*
- 858H Hotel- PME transfer - No gaming machine threshold increase required (80 kb)
- 863 Single poker machine entlmnt transfer without threshold inc country to country hotel (70 kb)
- 883 Single poker machine entlmnt transfer with threshold inc - country to country hotel (70 kb)
- 787 Transfer poker machine permits
New combined gaming forms
- GMS010 Change gaming machine shutdown period (to the general 6-hour period) (154 kb)
- GMS020 Change gaming machine shutdown period (weekends and public holidays) (164 kb)
- GMS030 Change gaming machine shutdown period on hardship grounds (each day of the week) (165 kb)
- GMS040 Change gaming machine shutdown period (early openers) (162 kb)
Gaming machine dealers, sellers and technicians forms
- Application to change directors or shareholders pursuant to licence cond (32 kb)
- Gaming machine technician's licence (124 kb)
- Gaming machine dealer's, seller's or testing facility licence - app by a corporation - Pt A (58 kb)
- Gaming machine dealer's, seller's or testing facility licence - app by a corporation - Pt B (78 kb)
- Gaming machine dealer's, seller's or testing facility licence - app by a corporation - Pt C (173 kb)
- Gaming machine seller's licence (124 kb)
Other gaming forms
- Application for review by Independent Liquor & Gaming Authority - decision of Director General of NSW Trade & Investment - AM0666
- Financial arrangements for the acquisition of gaming machines (51 kb)
- Direct debit auth - required for gaming machine tax and monitoring fee payments (164 kb)
- Model Self-Exclusion Scheme Deed (word 44 kb)
- Model Self-Exclusion Scheme Deed (pdf 30 kb)
- Model Self-Exclusion Scheme Deed - Arabic (pdf 118 kb)
- Model Self-Exclusion Scheme Deed - Korean (pdf 128 kb)
- Model Self-Exclusion Scheme Deed - Simplified Chinese (pdf 130 kb)
- Model Self-Exclusion Scheme Deed - Traditional Chinese (pdf 211 kb)
- Model Self-Exclusion Scheme Deed - Turkish (pdf 132 kb)
- Model Self-Exclusion Scheme Deed - Vietnamese (pdf 156 kb)
- Storage application form (word 77 kb)
- Unclaimed gaming machine tickets (word 45 kb)