The Department of Internal Affairs

The Department of Internal Affairs

Te Tari Taiwhenua

Building a safe, prosperous and respected nation

 

Forms to download

All forms are available in hard copy on request, from the relevant business group. See our contact details.

The majority of documents are available for download as pdf files. You need Adobe Acrobat Reader to view these documents, which can be downloaded for free from the Adobe site.


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Casino Gambling: Application for a Certificate of Approval (COA)
Description: Use this form for apply for a Certificate of Approval. Please do not complete this application unless you have already been offered employment with a casino. Use this form after 1 February 2016.
File Format: Adobe Acrobat
File Size: 437k

Casino Gambling: Associated Person - Company Information Application
Description: This form is used if your company is applying for Associated Person status in a casino. Use this form after 1 February 2016.
File Format: Adobe Acrobat
File Size: 301k

Casino Gambling: Associated Person - Personal Information Application
Description: Application to be approved as an Associated Person (person who will have a significant influence) in a casino. Use this form after 1 February 2016.
File Format: Adobe Acrobat
File Size: 360k

Casino Gambling: Group Commission Organiser/Representative & Commission Agent Application
Description: This form is for those who wish to organise Group Commission Programmes in a New Zealand casino, and Commission Agent Agreements in Sky City Entertainment Group of Casino properties in Auckland and Queenstown. Updated January 2013.
File Format: Adobe Acrobat
File Size: 351k

Casino Gambling: Group Commission Organiser/Representative & Commission Agent Renewal of Approval Application
Description: This form is for those who wish to renew their approval to organise Group Commission Programmes in a New Zealand casino, and Commission Agent Agreements in Sky City Entertainment Group of Casino properties in Auckland and Queenstown. Updated July 2012.
File Format: Adobe Acrobat
File Size: 210k

Class 3 and 4 Key Person Applicants Personal Information (GC5)
Description: Personal Information Form for Class 3 and Class 4 gambling (November 2015)
File Format: Adobe Acrobat
File Size: 374k

Class 3 Gambling: Application for a New Class 3 Operator’s Licence – Calcutta
Description: Application for a New Licence to Conduct Calcutta
File Format: Adobe Acrobat
File Size: 415k

Class 3 Gambling: Application for a New Class 3 Operator’s Licence – Game of Chance
Description: Application for a New Licence to Conduct Game of Chance
File Format: Adobe Acrobat
File Size: 418k

Class 3 Gambling: Application for a New Class 3 Operator’s Licence – Instant Game
Description: Application for a New Licence to Conduct Instant Game
File Format: Adobe Acrobat
File Size: 400k

Class 3 Gambling: Application for a New Class 3 Operator’s Licence - Lottery
Description: Application for a New Licence to Conduct Lottery
File Format: Adobe Acrobat
File Size: 418k

Class 3 Gambling: Application for a New Class 3 Operator’s Licence – Prize Competition
Description: Application for a New Licence to Conduct Prize Competition
File Format: Adobe Acrobat
File Size: 416k

Class 3 Gambling: Calcutta Calculation Spreadsheet
Description: This spreadsheet covers the calculations required for the calculation of Calcutta prizes and authorised purposes dollar amounts and other payments from both ticket sales and auctions. You need to attach this spreadsheet to the Class 3 Audit and Prize Statement (Excluding Housie) form above which must also be completed.
File Format: Adobe Acrobat
File Size: 87k

Class 3 Gambling: Class 3 Audit and Prize Statement
Description: Complete this form after a Class 3 Gambling activity has been drawn/determined.
File Format: Adobe Acrobat
File Size: 413k

Class 3 Gambling: Class 3 Calcutta Licence Amendment/Notification Application
Description: Application to amend an existing Class 3 Calcutta Gambling Operator's Licence. Use this form after 1 February 2016.
File Format: Adobe Acrobat
File Size: 355k

Class 3 Gambling: Class 3 Game of Chance Licence Amendment/Notification Application
Description: Application to amend an existing Class 3 Game of Chance Gambling Operator’s Licence. Use this form after 1 February 2016.
File Format: Adobe Acrobat
File Size: 356k

Class 3 Gambling: Class 3 Instant Game Licence Amendment/Notification Application
Description: Application to amend an existing Class 3 Instant Game Gambling Operator's Licence. Use this form after 1 February 2016.
File Format: Adobe Acrobat
File Size: 346k

Class 3 Gambling: Class 3 Lottery Licence Amendment/Notification Application
Description: Application to amend an existing Class 3 Lottery Gambling Operator's Licence. Use this form after 1 February 2016.
File Format: Adobe Acrobat
File Size: 362k

Class 3 Gambling: Class 3 Prize Competition Licence Amendment/Notification Application
Description: Application to amend an existing Class 3 Prize Competition Gambling Operator’s Licence. Use this form after 1 February 2016.
File Format: Adobe Acrobat
File Size: 355k

Class 4 Gambling: Application for a New Class 4 Operator's Licence - Category A (GC1A)
Description: 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.
File Format: Adobe Acrobat
File Size: 450k

Class 4 Gambling: Application for a New Class 4 Operator's Licence - Category A (GC1A) Guidance Notes
Description: Guidance notes for using the GC1A form.
File Format: Adobe Acrobat
File Size: 357k

Class 4 Gambling: Application for a New Class 4 Operator's Licence - Category B (GC1B)
Description: 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 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 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). Use this form after 1 February 2016.
File Format: Adobe Acrobat
File Size: 428k

Class 4 Gambling: Application for a New Class 4 Operator's Licence - Category B (GC1B) Guidance Notes
Description: Guidance notes for GC1B form.
File Format: Adobe Acrobat
File Size: 369k

Class 4 Gambling: Application for a New Class 4 Venue Licence (GC3)
Description: Class 4 Gambling: Application for a New Class 4 Venue Licence (GC3). Use this form after 1 February 2016.
File Format: Adobe Acrobat
File Size: 375k

Class 4 Gambling: Cancelled Credit, Short Pays and Refills Report
Description: A machine-specific report to record manual payments (“hand pays") for credits awarded by individual gaming machines, and some jackpot systems; any “short pay” correction payments manually paid out; and all hopper refills put into gaming machines.
File Format: Adobe Acrobat
File Size: 52k

Class 4 Gambling: Cash Clearance Details Report
Description: A machine-specific report to record all money removed from a gaming machine (i.e. cashbox and banknote clearances).
File Format: Adobe Acrobat
File Size: 37k

Class 4 Gambling: Cashless Gaming Machine Analysis
Description: As for Gaming Machine Analysis, where gaming machines are connected to a "cashless" system.
File Format: Adobe Acrobat
File Size: 33k

Class 4 Gambling: Category A Renewals Gaming Machine Account Summary (GC7)
Description: This form is used by single-venue clubs to renew their Class 4 Gambling Licences.
File Format: Adobe Acrobat
File Size: 355k

Class 4 Gambling: Category A Renewals Gaming Machine Account Summary (GC7) Guidance Notes
Description: Guidance notes for GC7 form (above).
File Format: Adobe Acrobat
File Size: 344k

Class 4 Gambling: Category B Renewals Gaming Machine Account Summary (GC6)
Description: This form is used by multi-venue clubs and other societies to renew their Class 4 Gambling Licences.
File Format: Adobe Acrobat
File Size: 413k

Class 4 Gambling: Category B Renewals Gaming Machine Account Summary (GC6) Guidance Notes
Description: Guidance notes for GC6 form above.
File Format: Adobe Acrobat
File Size: 370k


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