Casino and non-casino gaming
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.
Casino Gambling: Associated Person - Company Information Application
Description: This form is to be used if your company is applying for Associated Person status in a casino.
File Format: Adobe Acrobat
File Size: 82k
Casino Gambling: Group Commission Organiser/Representative Application
Description: Any individual who wishes to organise a Group Commission Programme at a New Zealand casino must enter into a written agreement with that casino specifying the conditions, which will apply to the programmes. These agreements require approval from the Secretary of the Department of Internal Affairs under section 181 of the Gambling Act 2003.
File Format: Adobe Acrobat
File Size: 97k
Casino Gambling: Group Commission Organiser/Representative Renewal of Approval Application
Description: Renewal of Application. Any individual who wishes to organise a Group Commission Programme at a New Zealand casino must enter into a written agreement with that casino specifying the conditions, which will apply to the programmes. These agreements require approval from the Secretary of the Department of Internal Affairs under section 181 of the Gambling Act 2003.
File Format: Adobe Acrobat
File Size: 54k
Class 3 Gambling: Application for a New Operator's Licence (GC11)
Description: Application for a new licence to conduct Class 3 gambling. Updated February 2011.
File Format: Adobe Acrobat
File Size: 126k
Class 3 Gambling: Application to Amend Operator's Licence (GC12)
Description: Application to amend licence to conduct Class 3 gambling. Updated October 2010.
File Format: Adobe Acrobat
File Size: 61k
Class 3 Gambling: Application to Renew Housie Operator's Licence (GC14)
Description: Application to renew a licence to conduct Class 3 gambling (housie only). A corporate society that conducts housie must apply to the Department of Internal Affairs for a renewal of its operator’s licence prior to the expiry of its current licence. Updated October 2010.
File Format: Adobe Acrobat
File Size: 72k
Class 3 Gambling: Audit and Prize Statement (Excluding Housie)
Description: Game of Chance, Instant Game, Lottery, and Prize Competition Game Rules under the Gambling Act 2003 state that a society must provide an independently audited audit and prize statement to the Department of Internal Affairs within three months from the date the Class 3 gambling activity is drawn or determined.
File Format: Adobe Acrobat
File Size: 289k
Class 3 Gambling: Calcutta Calculation Sheet
Description: This form covers the calcutta operation in its entirety rather than just the auction, which is only one aspect of this gambling activity. This sheet is to be attached to the Class 3 audit and prize statement.
File Format: Adobe Acrobat
File Size: 29k
Class 3 Gambling: Licensed Promoter's Key Person's Information Form (GC10)
Description: To obtain a licensed promoter’s licence, completed licensed promoter’s key person’s information forms must accompany the licence application.
File Format: Adobe Acrobat
File Size: 206k
Class 3 Gambling: Licensed Promoter's Licence Application (GC8)
Description: Form to apply for or to renew a licensed promoter's licence, under the terms of the Gambling Act 2003. Updated October 2010.
File Format: Adobe Acrobat
File Size: 112k
Class 3 Gambling: Licensed Promoter and Society Agreement (GC9)
Description: This is used to form an agreement allowing a licensed promoter to organise a Class 3 gambling activity on behalf of a society.
File Format: Adobe Acrobat
File Size: 30k
Class 3 & 4 Gambling: Personal Information Form (GC5)
Description: Personal information form for operators of Class 3 & 4 gambling. Updated August 2010.
File Format: Adobe Acrobat
File Size: 277k
Class 4 Gambling Example of Record Keeping for Gaming Operations (Monthly)
Description: All clubs are encouraged to use this spreadsheet, which will help to; easily identify funds available for Authorised Purposes each month; monitor the percentage of distributed Authorised Purposes on a monthly basis; understand the difference between Authorised Purposes and Direct Costs of Gaming;
avoid over-distribution of Authorised Purposes; and complete the renewal application. If you have any questions about using this spreadsheet, please email anna.panchenko@dia.govt.nz
File Format: Adobe Acrobat
File Size: 30k
Class 4 Gambling: Application for a New Operator's Licence (GC1)
Description: Application for a new Class 4 gambling operator's licence. Updated March 2011.
File Format: Adobe Acrobat
File Size: 132k
Class 4 Gambling: Application for a New Venue Licence (GC3)
Description: Application for a new venue licence for Class 4 gambling. Updated February 2011.
File Format: Adobe Acrobat
File Size: 88k
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: Daily Jackpot Cancelled Credit Report
Description: A system-specific report for recording manual payments (“hand pays”) generated by “non downloadable” jackpot systems (i.e. those that do not download win information to individual gaming machines).
File Format: Adobe Acrobat
File Size: 44k
Class 4 Gambling: Daily Jackpot Turnover Report
Description: A venue-specific report to be completed for “downloadable” jackpot systems to compare gaming machine hard turnover meters with jackpot controller turnover data.
File Format: Adobe Acrobat
File Size: 29k
Class 4 Gambling: Gambling Equipment Fault/Player Dispute Report
Description: A combined checklist and record of essential details in relation to: gambling equipment faults or malfunctions and/or player disputes in connection with gambling equipment operation.
File Format: Adobe Acrobat
File Size: 62k
Class 4 Gambling: Gaming Machine Account Summary (Multi-Venue Clubs & Other Societies) Renew Gambling Licence (GC6)
Description: This form is to be used by multi-venue clubs and societies to renew their Class 4 gambling licences. Updated April 2011.
File Format: Adobe Acrobat
File Size: 126k
Class 4 Gambling: Gaming Machine Account Summary (Single Venue Clubs) Renew Gambling Licence (GC7)
Description: This form is to be used by single venue clubs to renew their Class 4 gambling licences. Updated April 2011.
File Format: Adobe Acrobat
File Size: 119k
Class 4 Gambling: Gaming Machine Analysis Report
Description: A machine-specific report to record and analyse gaming machine meters, meter differences, machine operation and associated cash transactions.
File Format: Adobe Acrobat
File Size: 35k
Class 4 Gambling: Gaming Machine Analysis Spreadsheet
Description: This spreadsheet allows figures and other data to be input and automatically works out meter differences and performs arithmetical calculations.
File Format: Adobe Acrobat
File Size: 436k
Class 4 Gambling: Operator's Licence - Key Person Amendments / Notifications Application (GC2)
Description: Application to make amendments / notifications for key persons in relation to a Class 4 gambling licence. Updated March 2011.
File Format: Adobe Acrobat
File Size: 67k
Class 4 Gambling: Operator's Licence - Non-Key Person Amendments / Notifications Application (GC2A)
Description: Application to make amendments / notifications for non-key persons in relation to a Class 4 gambling licence. Updated October 2010.
File Format: Adobe Acrobat
File Size: 62k
Class 4 Gambling: Resubmission of Class 4 Venue Cost Schedules
Description: To achieve consistency and provide data to analyse the Gazette Notice, the Department has asked all societies to resubmit all Class 4 venue cost schedules by 30 June 2010. This document explains the process for resubmitting venue cost schedules.
File Format: Adobe Acrobat
File Size: 32k
Class 4 Gambling: Self-Assessment Review (Clubs)
Description: A checklist for clubs to undertake a “self-assessment” of their compliance with the Gambling Act 2003, related regulations, Game Rules and basic licence conditions.
File Format: Adobe Acrobat
File Size: 215k
Class 4 Gambling: Self-Assessment Review (Non-Club Societies)
Description: A checklist for non-clubs to undertake a “self-assessment” of their compliance with the Gambling Act 2003, related regulations, Game Rules and basic licence conditions.
File Format: Adobe Acrobat
File Size: 153k
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