Suppliers Forms (Licensed Monitoring Operators, Major Dealers, Secondary Dealers and Testing Facility Operators)
Forms relating to Suppliers can be downloaded below.
| Title | Date | File type | Link | P |
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| Form 20c - Affidavit - Suppliers | August 2008 | download (155 K) |
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| An affidavit must be submitted in conjunction with an application for a Suppliers Licence. | ||||
| Form 46 - Suppliers Licence Application | August 2008 | download (170 K) |
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| Application for a Supplier’s Licence or the Renewal of a Supplier’s Licence (Monitoring Operator, Major Dealer, Secondary Dealer or Testing Facility Operator). | ||||
| Form 49 - Surrender of Suppliers Licence | 15 June 2004 | download (200 K) |
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| Notification requesting Surrender of Supplier's Licence - Monitoring Operator. | ||||
| Form 54 - Notification of Cessation or Commencement of Secretary or Executive Officer of a Licensed Supplier | 15 June 2004 | download (205 K) |
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| Form 55a - Notification of Employees by Licensed Suppliers | 24 August 2004 | download (215 K) |
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| Form 59 Part A - Register of Gaming Machines LMO | 11 August 2003 | download (215 K) |
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| Register of all Gaming Machines owned or leased (including sub-leased and hire purchase or other contractual bailment) by Site and MONITORED by Licensed Monitoring Operator. | ||||
| Form 64 - Quarterly Report LMO | 3 August 2004 | download (285 K) |
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| doc | download (275 K) | |||
| Report required to be lodged quarterly by Licensed Monitoring Operators. | ||||
| Form 69 - Half Yearly Report Major Dealer Licensee | 3 August 2004 | download (285 K) |
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| doc | download (275 K) | |||
| Report required to be lodged 6 monthly by Major Dealer Licensees. | ||||
| Key: | |
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| P | Also available in hardcopy |
Last reviewed 5 August 2008
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