New York State Racing and Wagering Board

PLEASE READ
This page was last updated on December 10, 2010.

The Racing and Wagering Board announces the release of newly revised charitable gaming forms. The new forms have been updated to provide a more user-friendly format and clear instructions. Electronic Forms listed below have been modified as of April 14, 2010. Please discard all old versions of forms you may have in your possession and begin using the new forms immediately.

Please note: You need Adobe Acrobat Reader to view and/or print these forms (PDF Format). The Adobe Acrobat Reader is FREE. If you don't already have Acrobat Reader loaded, please Click Here to get the Adobe Reader now.

How to Print Forms: You must click on the print button that is displayed on the form. DO NOT select the print icon on the very top of your screen (that is part of your internet browser: Internet Explorer, Netscape, etc...). If you get a blank page when you print the forms that means you are clicking the wrong print button.

CHARITABLE GAMING FORMS

General Forms for Games of Chance and Bingo:

1A Application for Registration and Identification Number (please see instruction letter)
1A Application Instruction Letter
GC1A SC Games of Chance Senior Citizens Application (senior citizen groups only)
Sample Members' Affidavit Of Good Moral Character
GC-317 Application for Permission to Disburse Net Proceeds of Games of Chance
Municipal Clerks' Annual Report on Bingo/Games of Chance Activities
1. Download Paper Form (PDF Format) of Municipal Clerks' Annual Report
2. Electronic Submission of Municipal Clerks' Annual Report (new release)

Games of Chance:

* Use these forms for Bell Jar, Las Vegas Nights, Carnivals and Bazaars.
* GC-2, 2A and 2B must always be filed together.

GC-2 Application for Games of Chance License
GC-2A Application for Games of Chance License (cont.)
GC-2B Application for Games of Chance License (cont.)
GC-4 Findings & Determination for Games of Chance License (clerks only)
GC-5 License to Conduct Games of Chance (clerks only)
GC-6 Application to Amend Games of Chance License
GC-7 Financial Statement for Games of Chance Operations
GC-7B Cash Control Summary for Games of Chance (submit with GC-7 for Vegas Nights, Carnivals, Bazaars only)
GC-7Q Quarterly Statement of Bell Jar Operations
1. Download Paper Form (PDF Format) of GC-7Q Quarterly Statement (revised April 2010)
2. Electronic Submission of GC-7Q Quarterly Statement (new release)
GC-7Q Schedule 1 Bell Jar Deals Sold
1. Download Paper Form (PDF Format) of Schedule 1 (must accompany GC-7Q, revised April 2010)
2. Electronic Submission of Schedule 1 (self contained in GC-7Q electronic submission)
GC-7Q Instructions
GC-8 Municipal Register of Games of Chance Licenses (clerks only)
GC-01BJ Bell Jar Ticket Dispensing Machine Registration Application Form

Raffles with net-profits under $30,000 for the calendar year:

Raffles with net-profits over $30,000 for the calendar year:

Bingo:

* BC-2, 2A and 2B must always be filed together.

BC-2 Application for Bingo License
BC-2A Application for Bingo License Schedules 1,2,3,4
BC-2B Application for Bingo License Schedules 5,6,7
BC-4 Findings and Determination for Bingo License (clerks only)
BC-5 License to Conduct Bingo Games (clerks only)
BC-6 Application to Amend Bingo License
BC-7 Financial Statement of Bingo Operations
PLEASE NOTE: BC-7's are not to be sent to the Racing and Wagering Board. Please send all BC-7's to the municipal clerk.
Only BC-7Q's are sent to the Board. A printing error appeared on some BC-7 forms instructing organizations to submit the BC-7 to the Board. This was an error.
BC-7B Cash Control Report (submit with BC-7) (referred to as Appendix T-2 in Section 5821.13)
BC-7Q Quarterly Statement of Bingo Operations
BC-8 Municipal Register of Bingo Licenses (clerks only)
BC-9 Financial Statement of Bingo Operations (Limited Period Bingo)
BC-317 Application for Permission to Distribute Net Proceeds of Bingo

SUPPLIERS AND MANUFACTURERS

Notice: The New York State Racing and Wagering Board's Bureau of Licensing, in collaboration with the Division of Criminal Justice Services, is implementing electronic fingerprinting effective January 1, 2010.

Click here to read the full letter that outlines the new electronic fingerprinting process.
Pursuant to the State contract between DCJS and L-1, the vendor fee can be altered twice annually dependant upon the amounts submitted under the State contract. The range of adjustment permissible is up to $11.75 or down to no lower than $9.95 per card.

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