Video Gaming Applications and Forms

Location Application and Forms

Location License Web Application (for help, see the Location Application FAQs)

Truck Stop and Large Truck Stop Affidavit

(The completed affidavit must be emailed to IGB.VG.TruckStop@illinois.gov at the time the application is submitted. Retain the original to be presented to the agent at the site inspection.)

Withdrawal of Location License Application

Surrender of Location License

Forms and materials pertaining to the U.S. Gambling Devices Act Of 1962 can be found at the U.S. Department of Justice. For your convenience, you may access the information through the following links:

Technician / Terminal Handler Application

Technician / Terminal Handler License Application

Manufacturer / Distributor / Supplier / Terminal Operator Applications and Forms

Applications

Manufacturer / Distributor / Supplier License Application

Terminal Operator License Application

Disclosure Forms

Personal Disclosure Form

Business Entity Disclosure Form

Business Entity Disclosure Short Form

Trust Disclosure Form

Institutional Investor Disclosure Form

Financial Forms

Terminal Operator Quarterly Analysis Template

Cash Flow Projections Template

Net Worth Summary and Schedules Template

Summary of Document Submissions Checklist

Individual Tax Affidavit

Business Tax Affidavit

IRS Transcript Help

Miscellaneous Forms

Terminal Operator ACH Authorization Form

Terminal Operator Sales Agent/Broker Update (an amendment to Exhibit 8D of the Terminal Operator Application)

Business Entity Request to Release Information

Individual Request to Release Information

Affidavit of Residency

Standard Use Agreement

Proposed Standard Use Agreement

Transport Request Forms

Request To Transfer System

VGT Transport Notice for Interstate Transport or Trade Show Events

Software Transport Notice

Document Upload System

Document Upload System

Terminal Collateral Lender Registration Form

Terminal Collateral Lender Registration