Skip to main navigationSkip to News Headlines
Global Navigation
Office of The Attorney General
The State of New Jersey Office of The Attorney General (Dept. of Law & Public Safety) The State of New Jersey NJ Home Services A to Z Departments/Agencies OAG Frequently Asked Questions
OAG Home
OAG Home OAG Contact
Division of Alcoholic Beverage Control
Division of Consumer Affairs
Division of Criminal Justice
Division on Civil Rights
New Jersey Division of Gaming Enforcement
Division Fees...
Employee Licensing & Reports
Vendor Licensing & Reports
Casino Licensing
Director's Office
Financial & Statistical Information
Forms
Exclusion List
Self Exclusion List
New Jersey Casino Control Act & Regulations
Temporary Regulations
Slot Laboratory (TSB)
Additional Resources
Division of Highway Traffic Safety
Division of Law
Juvenile Justice Commission
NJ Racing Commission
State Athletic Control Board
Division of NJ State Police
Victims of Crime Compensation Office
OPRA - Open Public Records Act
Division of Gaming Enforcement
Division of Gaming Enforcement
  FORMS  
 
 
 
Note: "Yellow" indicates fillable form.
 
 
EMPLOYEE CREDENTIAL
Form #
Document Name
1
Personal History Disclosure Form 3 - Casino Employee Registration
UPDATED OCTOBER 1, 2014
2
Casino Employee License Conversion Application
UPDATED OCTOBER 1, 2014
3
Request to Determine Employment or Reapplication Eligibility
UPDATED OCTOBER 1, 2014
4
License Application Request Form
5
(And 43 And 63)
Credit Card Authorization
6
Change of Name or Address Form
7
Request for Copy of Registration Credential
8
Notice of Right to Division Hearing
9
Link to Right to Appeal to Casino Control Commission
10
Temporary Casino Key Employee Licensure
CASINO LICENSE
Form #
Document Name
20
(And 32)
Multi-Jurisdictional Personal History Disclosure Form
21
New Jersey Supplemental Form to the Multi-Jurisdictional Personal History Disclosure Form - Casino Qualifiers and Casino Key Employee Qualifiers
UPDATED OCTOBER 1, 2014
22
Personal History Disclosure Resubmission Form - Casino Qualifiers
UPDATED OCTOBER 1, 2014
23
Business Entity Disclosure Form - Casino Company and Casino Holding and Intermediary Company
24
(And 37)
Institutional Investor Certification
25
Personal History Disclosure Form 1 - Casino Qualifiers
UPDATED OCTOBER 1, 2014
26
Initial Internet Gaming Permit Application
27
Request for Relief From or Waiver of Internet Gaming Requirement
28
(And 45)
Internet Gaming Disclosure Statement Form
UPDATED JUNE 13, 2014
29
(And 31B)
Multi-Jurisdictional Business Form ***NEW***
29A
(And 31C)
New Jersey Supplemental Form to the Multi-Jurisdictional Business Form - Casino Company Casino Holding and Intermediary Company ***NEW***
ENTERPRISE LICENSE
Form #
Document Name
30
Instructions for Filing an Application for a Casino Service Industry Enterprise License
30A
Instructions for Filing an Application for an Ancillary Casino Service Industry Enterprise License
31
Business Entity Disclosure Form - Casino Service Industry Enterprise License
31A
Business Entity Disclosure Form - Ancillary Casino Service Industry Enterprise License
31B
(And 29)
Multi-Jurisdictional Business Form ***NEW***
31C
(And 29A)
New Jersey Supplemental Form to the Multi-Jurisdictional Business Form - Casino Company Casino Holding and Intermediary Company ***NEW***
32
(And 20)
Multi-Jurisdictional Personal History Disclosure Form
32A
Personal History Disclosure Form - Ancillary Casino Service Industry Enterprise
UPDATED OCTOBER 1, 2014
33
New Jersey Supplemental Form to the Multi-Jurisdictional Personal History Disclosure Form - Casino Service Industry Enterprise Qualifiers
UPDATED OCTOBER 1, 2014
34
Personal History Disclosure Form 2 - Outside Directors of Holding and Intermediary Companies of Casino Service Industry Enterprises
UPDATED OCTOBER 1, 2014
35
Casino Service Industry Enterprise - Qualifier Resubmission Disclosure Form
36
(And 56)
Equal Opportunity and Affirmative Action Obligations - Casino Service Industry Applicants/Licensees
37
(And 24)
Institutional Investor Certification 
38
Labor Organization Registration Statement
39
Labor Organization Individual Disclosure Form
UPDATED OCTOBER 1, 2014
40
Vendor Registration Form - Contact the casino you are doing business with for this form.
41
Vendor Registration Supplemental Disclosure Form
42
Non-Supervisory Employee(s) of a Junket Enterprise - Registration Form
43
(And 5
And 63)
Credit Card Authorization
44
Request for Removal from Prohibited Vendor List For Failure to Timely File Supplemental Disclosure Form

45
(And 28)

Internet Gaming Disclosure Statement Form
UPDATED JUNE 13, 2014
CASINO HOTEL ALCOHOLIC
BEVERAGE LICENSE
Form #
Document Name
50
Instructions For Obtaining an Initial Casino Hotel Alcoholic Beverage License or Filing For Resubmission
51
Casino Hotel Alcoholic Beverage - License Application
52
Casino Hotel Alcoholic Beverage - License Resubmission
53
Casino Hotel Alcoholic Beverage Licensee - Business Entity Disclosure Form
54
Casino Hotel Alcoholic Beverage Licensee - Business Entity Disclosure Form - Holding Company
55
Casino Hotel Alcoholic Beverage Licensee - Qualifier Disclosure Form
UPDATED OCTOBER 1, 2014
56
(And 36)
Equal Opportunity and Affirmative Action Obligations - Casino Service Industry Applicants/Licensees
57
Casino Hotel Alcoholic Beverage - Social Affair Permit Application
58
Casino Hotel Alcoholic Beverage - Consumer Alcoholic Beverage Tasting Permit Application
59
Casino Hotel Alcoholic Beverage - Special Disposal Permit Application
60
Casino Hotel Alcoholic Beverage - Temporary Miscellaneous Contingency Permit Application
61
Casino Hotel Alcoholic Beverage - Donation Permit Application
62
Casino Hotel Alcoholic Beverage - Merchandising Permit Application
63
(And 5 And 43)
Credit Card Authorization
64
Casino Hotel Alcoholic Beverage Licensee - Submission By a Casino Licensee For a Temporary Type III Authorization
SELF-EXCLUSION
Form #
Document Name
70
Request for Voluntary Self-Exclusion from Casino Facilities Including Internet Gaming Activities; or Internet Gaming Only
71
Request for Removal from Voluntary Self-Exclusion List

 

 
OAG Home DGE Director's Biography
DGE Director's Biography
DGE Home Contact DGE
About DGE DGE Employment
DGE Directions DGE Proposed Rules
DGE News DGE Bureaus/Units
DGE FAQs DGE's Services from A to Z
DGE Fees Division Fees...
Highlights
View the 2011 OAG Annual Report
Underage Gambling is Illegal
Gambling Problem? 1-800-Gambler
DGE Inquiries & Patron Complaints
Schedule A Fingerprint Appointment
Slot Laboratory - Technical Services Bureau (TSB)
DGE Reports
IAGR - International Association of Gaming Regulators
NJ Casino Control Commission
CRDA - Casino Reinvestment Development Authority
Atlantic City Convention and Visitors Authority
NJ Amber Alert Plan
   
Contact Us | Privacy Notice | Legal Statement | Accessibility Statement
NJ Home Logo
Division: DGE Home | Contact DGE | About DGE | DGE News | DGE FAQs
Departmental: OAG Home | Contact OAG | About OAG | OAG News | OAG FAQs
Statewide: NJ Home | Services A to Z | Departments/Agencies | FAQs
Copyright © State of New Jersey
This page is maintained by OAG Communications. Comments/Questions: email or call 609-292-4925
OAG Home OAG Home more news noticias en español