NJ Casino Control Commission - Forms
Official Site of the state of New Jersey
Governor Mikie Sherrill • Lt. Governor Dr. Dale G. Caldwell
NJ.gov
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LICENSING FORMS - CASINO KEY EMPLOYEES
Initial applications (non-qualifiers)
Personal History Disclosure Form 1B
[PDF]
Multi-Jurisdictional Personal History Disclosure Form
[PDF]
New Jersey Supplemental Form to Multi-Jurisdictional
(Key Employee) [PDF]
Five year review (non-qualifiers)
Casino Key Employee License Review Application
[PDF]
Inactive List Request Form
[PDF]
Other
Credit Card Authorization
[PDF]
Key License Change of Address/Name Form
[PDF]
Request Copy of Completed Personal History Disclosure Form
[PDF]
Request Duplicate of Key License Credential
[PDF]
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LICENSING FORMS - CASINO QUALIFIERS
Initial applications
Multi-Jurisdictional Personal History Disclosure Form
[PDF will open on the DGE website]
New Jersey Supplemental Form to the Multi-Jurisdictional Personal History Disclosure Form – Casino Qualifiers and Casino Key Employee Qualifiers
[PDF will open on the DGE website]
Personal History Disclosure Form 1 - Casino Qualifier
[PDF will open on the DGE website]
Five year review
Personal History Disclosure Resubmission Form – Casino Qualifiers
[PDF will open on the DGE website]
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LICENSING FORMS - CASINOS
Casino applications
Business Entity Disclosure Form
[PDF will open on the DGE website]
Pilot Program for Small Scale and Staged Casino Licenses [please
email
or call 609-441-3799 for forms and instructions]
Petitions
Temporary Casino Key Employee License Petition Form
[PDF will open on the DGE website]
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HEARING & APPEAL REQUEST FORMS
Request for hearing or appeal
Hearing Request Form
[PDF] - If you have received notification that there is an objection raised in connection with your application for a casino key employee license, you may request a hearing by filing a
Hearing Request Form
Appeal Request Form
[PDF]
Pursuant to N.J.S.A. 5:12-63(b) you have the right to appeal any final action or determination taken in your matter by the New Jersey Division of Gaming Enforcement (DGE). For complete information, open the
notice and appeal form
, and follow the instructions.
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FINANCIAL FORMS
Casino Parking Fee
Parking Fee Return Form
[xls]
Instructions for Completing the Parking Fee Return
[PDF]
Other
Credit Card Authorization
[PDF]
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OPEN PUBLIC RECORDS ACT FORMS
Request Forms
NJCCC Specific Form
[PDF]
State Request Form
[PDF]
Other
Credit Card Authorization
[PDF]
For Casino Qualifiers, Casino Employee Registrations, and other forms specified by the Division of Gaming Enforcement (DGE), go to the
DGE website
For casino related taxes and fees collected by the Division of Taxation including the Casino Gross Revenue Tax, Casino Hotel Room Fee, and Multi-Casino Progressive Slot Machine Revenue Tax, go to Taxation's
online filing and payment service
In accordance with the provisions of P.L. 2023, c.263, translated vital documents on this webpage are provided to individuals with Limited English Proficiency on the
Language Access Law
page of this website.
Related Links
Division of Gaming Enforcement Forms
Division of Gaming Enforcement - Financial Forms and Instructions
Division of Taxation - Casino Taxes and Fees
Open Public Records Act (OPRA) forms
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