Forms
On this page are direct links to each of the applications and other forms that have been incorporated into the Commission's regulations (California Code of Regulations, Title 4, Division 18, § 12002 et seq.), including not only Commission forms but also certain Bureau of Gambling Control (Bureau) forms. The forms listed on this page are the official, most current revisions, as incorporated into the Commission's regulations.
FILLING OUT A STATE GAMBLING APPLICATION? CHECK OUT THESE RESOURCES ABOUT THE LICENSING PROCESS: |
Responsible Gambling Forms
- Self-Restriction Request (CGCC-CH7-04, New 05/20)
- Self-Exclusion Request (CGCC-CH7-05, New 05/20)
- Self-Exclusion Removal Request (CGCC-CH7-06, New 05/20)
General Forms
- Notice of Contact Information Change (CGCC-CH1-01, Rev. 01/21)
- Appointment of Designated Agent (CGCC-CH1-04, New 07/22)
- Badge Replacement Request (CGCC-CH2-01, Rev. 11/21)
- Notification of Employment Change (CGCC-CH2-02, New 05/20)
- Notification of Employee Separation (CGCC-CH2-03, New 05/20)
- Supplemental Information: Schedules (CGCC-CH2-11, New 05/20)
- Authorization to Release Information (CGCC-CH2-13, New 05/20)
- Request for Statewide Involuntary Exclusion of an Individual (CGCC-CH7-01, New 05/20)
- Incident Report Form (CGCC-CH7-08, New 08/22)
- Cardroom Business License: Gaming Revenue Report (CGCC-CH5-01, New 09/22)
- Notice of Relocation (CGCC-CH7-02, Rev. 11/21)
- Cardroom Business License: Gaming Tables (CGCC-CH7-07, Rev. 09/22)
- Application for Playing Book Approval (CGCC-CH3-01, Rev. 11/21)
- Application for Contract Approval to Provide Proposition Player Services (CGCC-CH3-02, Rev. 11/21)
- Subpoena (CGCC-CH1-02, New 05/20)
- Notice of Defense (CGCC-CH1-03, Rev. 09/21)
Cardroom-Specific Operation Forms
TPPPS-Specific Operation Forms
Evidentiary Hearing Forms
Cardroom and TPPPS Live Scan Forms
- Request for Live Scan Service - Gambling Establishment Owner (BCIA 8016, Rev. 04/2020)
- Request for Live Scan Service - Gambling Establishment Key Employee (BCIA 8016, Rev. 04/2020)
- Request for Live Scan Service - Gambling Establishment Work Permit (BCIA 8016, Rev. 04/2020)
- Request for Live Scan Service - Third Party (BCIA 8016, Rev. 04/2020)
Tax Forms
- Franchise Tax Board Form FTB 3516 C1 (Rev. 08/2015)
- Internal Revenue Service Form 4506-T (Rev. 06/2019)
- Link to the Franchise Tax Board
- Link to the Internal Revenue Service
Cardroom and TPPPS Owner Forms
- Application for Owner Category License (CGCC-CH2-05, Rev. 04/23)
- Business Entity: Supplemental Information (CGCC-CH2-06, Rev. 12/21)
- Individual Owner/Principal: Supplemental Information (CGCC-CH2-07, Rev. 07/22)
- Trust: Supplemental Information (CGCC-CH2-09, Rev. 12/21)
- Spousal Information (CGCC-CH2-12, Rev. 10/23)
Cardroom Key Employee and TPPPS Supervisor Forms
- Application for Employee Category License (CGCC-CH2-04, Rev. 11/21)
- Key Employee or TPPPS Supervisor: Supplemental Information (CGCC-CH2-08, Rev. 07/22)
Cardroom and TPPPS Employee (Rank and File) Forms
- Application for Employee Category License (CGCC-CH2-04, Rev. 11/21)
- Commission Work Permit or TPPPS Worker: Supplemental Information (CGCC-CH2-10, Rev. 07/22
Gambling Equipment Manufacturer and Distributor Forms
- Application for Registration of Manufacturers or Distributors of Gambling Equipment (BGC-025, Rev. 11/21)
- Antique Collector Exemption (BGC-039, Rev. 10/17)
- Quarterly Report (BGC-040, Rev. 04/13)
Bingo Forms
- Application Interim License for Bingo Equipment Manufacturers, Distributors and Vendors (BGC-610, Rev. 07/17)
- Request for Live Scan Service - Bingo Manufacturer and Distributor (BCIA 8016, Rev. 04/2020)
- Statement of Eligibility to Conduct Remote Caller Bingo (BGC-618, Rev. 10/13)
- Application Interim License for Remote Caller Bingo (BGC-620, Rev. 10/13)
- Application for Interim Work for Remote Caller Bingo (BGC-622, Rev. 04/13)
- Request for Live Scan Service - Bingo Fiduciary (BCIA 8016, Rev. 04/2020)
- Request for Live Scan Service - Bingo Site Manager (BCIA 8016, Rev. 04/2020)
- Request for Live Scan Service - Bingo Caller (BCIA 8016, Rev. 04/2020)
- Request for Live Scan Service - Work Permit (BCIA 8016, Rev. 04/2020)
Manufacturer, Distributor, and Vendor Forms
Nonprofit Organization Forms
Tribal Gaming Forms*
- Application for Finding of Suitability Tribal Key Employee (BGC-TKE 01, Rev. 03/2015)
- Tribal-State Compact Gaming Device Certification Form (FY 23-24) (CGCC-C2023)
- Tribal Contact Information Form (BGC-CCS-014, Rev. 09/2023)
- Request for Live Scan Service - Tribal Key Employee (BCIA 8016, Rev. 04/2020)
Gaming Resource Supplier / Financial Source Provider Forms*
* These forms are exempt from the rulemaking provisions of the Administrative Procedure Act (Gov. Code, Title 2, Div. 3, Pt. 1, Ch. 3.5, § 11340 et seq.) and, therefore, are not incorporated into the Commission's regulations. The forms listed are the official, most current revision.
There are additional Bureau Forms, not incorporated into the Commission's regulations, which may also be needed for application, reporting or other purposes.
