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DC Office of Lottery & Gaming

GameofSkill_Info@dc.gov

Document Signers
    • 1 Applicant

    • 2 Department Representative

    • 3 Investigators

    • 4 Approver

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05/11/2021Click to Sign
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05/11/2021
05/11/2021
05/11/2021

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Additional Signatures Required

Basic Business License* Click Here to Upload
Clean Hands Certificate* Click Here to Upload
Enterprise Release Form* Click Here to Upload
Operational, Surveillance, and Security Plan* (Required Only for Retailers) Click Here to Upload
Testing Lab Certification* (Required only for Distributor and Manufacturer Licenses) Click Here to Upload
ABRA Endorsement* (Required Only for Retailers) Click Here to Upload
Government Issued ID* Click Here to Upload
Government Issued ID cards for all other owners* (Required if more than one owner) Click Here to Upload
Key Personnel Release Form (if more than one owner - please sign and attach the form for all owners with 10% or more interest in the applicant) Click Here to Upload
Institutional Investor Certification Form (Attach one for each passive investor with 10% or more interest in the applicant) Click Here to Upload
Ownership and Corporate Structure of the Applicant* Click Here to Upload
Miscellaneous 1 Click Here to Upload
Miscellaneous 2 Click Here to Upload
Miscellaneous 3 Click Here to Upload
Internal Controls* (Retailers and Distributors ONLY) Click Here to Upload