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.
Agreed-Upon procedures illustrative report for Societies and Clubs
Description: The Department requires an Independent Chartered Accountant with a Certificate in Public Practice to verify the financial information provided in the Gaming Machine Account Summary form (GC6) by performing specific procedures. This is known as an Agreed-upon procedures engagement.
This engagement needs to be carried in accordance with APS -1 Statement of Agreed-upon procedures Engagement Standards and Guidelines of the New Zealand Institute of Chartered Accountants.
File Format: Adobe Acrobat
File Size: 55k
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. (April 2017)
File Format: Adobe Acrobat
File Size: 739k
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: 413k
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: 435k
Casino Gambling: Group Commission Organiser/Representative & Commission Agent Application
Description: This form is for those who wish to organise Group Commission Programmes in New Zealand. Updated June 2018.
File Format: Adobe Acrobat
File Size: 284k
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 New Zealand. Updated April 2018.
File Format: Adobe Acrobat
File Size: 214k
Class 3 and 4 Key Person Applicants Personal Information (GC5)
Description: Personal Information Form for Class 3 and Class 4 gambling (July 2022)
File Format: Adobe Acrobat
File Size: 1651k
Class 3 Gambling: Application for a New Class 3 Operator’s Licence – Calcutta
Description: Application for a New Licence to Conduct Calcutta (April 2017)
File Format: Adobe Acrobat
File Size: 588k
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 (April 2017)
File Format: Adobe Acrobat
File Size: 612k
Class 3 Gambling: Application for a New Class 3 Operator’s Licence – Instant Game
Description: Application for a New Licence to Conduct Instant Game (April 2017)
File Format: Adobe Acrobat
File Size: 619k
Class 3 Gambling: Application for a New Class 3 Operator’s Licence - Lottery
Description: Application for a New Licence to Conduct Lottery (November 2021)
File Format: Adobe Acrobat
File Size: 835k
Class 3 Gambling: Application for a New Class 3 Operator’s Licence – Prize Competition
Description: Application for a New Licence to Conduct Prize Competition (April 2017)
File Format: Adobe Acrobat
File Size: 618k
Class 3 Gambling: Application for a New Operator’s Licence – Housie (GC11H)
Description: Application for a New Class 3 Operator’s Licence – Housie (April 2017)
File Format: Adobe Acrobat
File Size: 629k
Class 3 Gambling: Application to renew a Housie Licence (GC14HR)
Description: Application to renew a Class 3 Housie Licence (April 2017)
File Format: Adobe Acrobat
File Size: 535k
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. (April 2020)
File Format: Excel
File Size: 35k
Class 3 Gambling: Class 3 Audit and Prize Statement
Description: Complete this form after a Class 3 Gambling activity has been drawn/determined. (November 2021)
File Format: Adobe Acrobat
File Size: 750k
Class 3 Gambling: Class 3 Calcutta Licence Amendment/Notification Application
Description: Application to amend an existing Class 3 Calcutta Gambling Operator's Licence. (April 2017)
File Format: Adobe Acrobat
File Size: 562k
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. (April 2017)
File Format: Adobe Acrobat
File Size: 567k
Class 3 Gambling: Class 3 Housie Licence Amendment/Notification Application (GC12HA)
Description: Class 3 Housie Licence Amendment/Notification Application. (April 2017)
File Format: Adobe Acrobat
File Size: 518k
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. (April 2017)
File Format: Adobe Acrobat
File Size: 560k
Class 3 Gambling: Class 3 Lottery Licence Amendment/Notification Application
Description: Application to amend an existing Class 3 Lottery Gambling Operator's Licence. (April 2017)
File Format: Adobe Acrobat
File Size: 602k
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. (April 2017)
File Format: Adobe Acrobat
File Size: 580k
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. (April 2017)
File Format: Adobe Acrobat
File Size: 709k
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: 598k
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). (April 2017)
File Format: Adobe Acrobat
File Size: 695k
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: 610k
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). (updated August 2022)
File Format: Adobe Acrobat
File Size: 762k
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: 133k
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: 112k
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: 111k
Previous / Next
