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Services › Casino and Non-Casino Gaming › Class 4 Operator's Licence Forms
- Application for a New Class 4 Operator's Licence (Category A)
- Application for a New Class 4 Operator's Licence (Category B)
- Class 4 Operator's Licence Key Person Amendments/Notifications
- Class 4 Operator's Licence Non-Key Person Amendments/Notifications
- Class 3 and 4 Key Person Applicants Personal Information
Application for a New Class 4 Operator's Licence (Category A)
Use this form if you are a club wanting to operate gaming machines at a single venue that the club owns or leases and you do not currently hold Class 4 Gambling Licences.You also need to complete the 'Application for a New Class 4 Venue Licence' form for the venue you want licensed, and provide a 'Class 3 & 4 Key Person Personal Information' form completed by each key person in respect of the club and its venue. More information about Class 4 Licensing Criteria.
![]() Form code | ![]() Form to use |
![]() GC1A | ![]() Application for a New Class 4 Operator's Licence - Category A (PDF, 442KB)* April 2017 See also: Guidance Notes (PDF, 349KB)* Updated May 2013 |
Application for a New Class 4 Operator's Licence (Category B)
Use this form if you are:- a club wanting to operate gaming machines at more than one venue, or
- other corporate society wanting to operate gaming machines at a club or public venue
You also need to complete the 'Application for a New Class 4 Venue Licence' form for each of the venues you want licensed, and provide a 'Class 3 & 4 Key Person Personal Information' form completed by each key person in respect of the club/corporate society and/or venue(s). More information about Class 4 Licensing Criteria.
![]() Form code | ![]() Form to use |
![]() GC1B | ![]() Application for a New Class 4 Operator's Licence - Category B (PDF, 410KB)* April 2017 See also: Guidance Notes (PDF, 177KB)* Updated October 2016 |
Class 4 Operator's Licence Key Person Amendments / Notifications
Amendment to Licence, or notification under section 54 of the Gambling Act 2003, related to Key Persons.Use this form if you want to:
- add a key person;
- remove a key person;
- change the designation of an existing key person;
- notify changes in circumstances as specified in section 54 of the Act.
![]() Form code | ![]() Form to use |
![]() GC2 | ![]() Class 4 Operator's Licence Key Person Amendments/Notifications (PDF, 322KB)* April 2017 |
Class 4 Operator's Licence Non-Key Person Amendments / Notifications
Amendment to Licence, or notification under section 54 of the Gambling Act 2003, not related to Key Persons.Use this form if you want to:
- change your authorised purpose(s);
- change your problem gambling policies;
- change your method, system or policies for distribution of net proceeds;
- change your governing document;
- apply to accumulate funds;
- make any other change that may affect your ability to comply with the Act or your Class 4 Operator's Licence;
- provide details of disposal of gaming machines from society storage (no fee).
![]() Form code | ![]() Form to use |
![]() GC2A | ![]() Class 4 Operator's Licence Non-Key Person Amendments/Notifications (PDF, 333KB)* April 2017 |
Class 4 Operator's Licence Non-Key Person Amendments/Notifications
Personal Information Form for Class 3 and Class 4 gambling.![]() Form code | ![]() Form to use |
![]() GC5 | ![]() Class 3 and 4 Key Person Applicants Personal Information (PDF, 360KB)* April 2017 |
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