The Department of Internal Affairs

Te Tari Taiwhenua | Department of Internal Affairs

Building a safe, prosperous and respected nation



 

Services › Casino and Non-Casino Gaming › Class 3 Gambling Forms

To run a Class 3 gambling activity you need to apply for a licence on the correct form.

Please choose the form that best fits what you want to do.

The forms are available below for you to open, download, complete electronically and save as PDF* files and print.

Applications on old forms are likely to be returned as they will not contain all the information we need to process your licence application through the new system.

For further information regarding completing these forms electronically and paying application fees please refer to Fact Sheet 42 and for further information regarding submitting your application please refer to Fact Sheet 43.

Class 3 Operator's Licence Application Forms

Class 3 Audit and Calculation Forms

Class 3 & 4 Key Person Applicants Personal Information

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, 2MB)*
July 2022

Application for a New Licence to Conduct Lottery

Form code
Form to use

GC11L
Application for a New Class 3 Operator’s Licence - Lottery (PDF, 409KB)*
November 2021

Application for a New Licence to Conduct a Game of Chance

Form code
Form to use

GC11GoC
Application for a New Class 3 Operator’s Licence – Game of Chance (PDF, 409KB)*
April 2017

Application for a New Licence to Conduct a Prize Competition

Form code
Form to use

GC11PC
Application for a New Class 3 Operator’s Licence – Prize Competition (PDF, 407KB)*
April 2017

Application for a New Licence to Conduct Housie

Form code
Form to use

GC11H
Application for a New Class 3 Operator’s Licence – Housie (PDF, 351KB)*
April 2017

Application for a New Licence to Conduct Calcutta

Form code
Form to use

GC11C
Application for a New Class 3 Operator’s Licence – Calcutta (PDF, 406KB)*
April 2017

Application for a New Licence to Instant Game

Form code
Form to use

GC11IG
Application for a New Class 3 Operator’s Licence – Instant Game (PDF, 392KB)*
April 2017

Application to amend an existing Class 3 Lottery Gambling Operator's Licence

Form code
Form to use

GC12LA
Class 3 Lottery Licence Amendment/Notification Application (PDF, 361KB)*
April 2017

Application to amend an existing Class 3 Game of Chance Gambling Operator’s Licence

Form code
Form to use

GC12GoCA
Class 3 Game of Chance Licence Amendment/Notification Application (PDF, 356KB)*
April 2017

Application to amend an existing Class 3 Prize Competition Gambling Operator’s Licence

Form code
Form to use

GC12PCA
Class 3 Prize Competition Licence Amendment/Notification Application (PDF, 355KB)*
April 2017

Application to amend an existing Class 3 Housie Gambling Operator's Licence

Form code
Form to use

GC12HA
Class 3 Housie Licence Amendment/Notification Application (PDF, 338KB)*
April 2017

Application to amend an existing Class 3 Calcutta Gambling Operator's Licence

Form code
Form to use

GC12CA
Class 3 Calcutta Licence Amendment/Notification Application (PDF, 355KB)*
April 2017

Application to amend an existing Class 3 Instant Game Gambling Operator's Licence

Form code
Form to use

GC12IGA
Class 3 Instant Game Licence Amendment/Notification Application (PDF, 346KB)*
April 2017

Application to renew an existing Class 3 Housie Gambling Operator's Licence

Form code
Form to use

GC14HR
Application to renew a Class 3 Housie Licence (PDF, 354KB)*
April 2017

Class 3 Audit and Prize Statement

Complete this form after a Class 3 Gambling activity has been drawn/determined.

Form code
Form to use

GC13
Class 3 Audit and Prize Statement (PDF, 404KB)*
November 2021

Calcutta Calculation Spreadsheet

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.

Form code
Form to use

Not applicable
Calcutta Calculation Spreadsheet (XLSX, 22KB)
April 2020


*You need Adobe Reader installed on your computer to view these forms. If you are unable to open the forms we recommend you get the latest version of Adobe Reader. You can download and install Acrobat Reader for free from the Adobe website.

Unable to download or access our forms? Contact the Gambling Group and request printed copies.