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Charitable Gaming



Forms that are interactive will have the (Fill-in Form) designation next to the form number. Before using the interactive forms, please review the instructions.

The Gaming Permittee Test is available online through the Revenue Online. (Free and available to everyone.)

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 Form Number Title Revision Date Document Type
2018 Forms
2017 Forms
2016 Forms
2015 Forms
Permittee Forms
Applications
 Permittee Application
826i 2015 Permittee Application Instructions (Rev 9/14) PDF Link
Reports
 Permittee Quarterly Report
828 2015 Permittee Quarterly Report Fill In (Rev 11/14) Excel Link
828i 2015 Permittee Quarterly Report Instructions (Rev 11/14) PDF Link
Operator Forms
 Operator Quarterly Report
843 2015 Operator Quarterly Report (Rev 11/14) Excel Link
843i 2015 Operator Quarterly Report Instructions (Rev 11/14) PDF Link
MBP (Multiple-Beneficiary Permittee) Forms
 MBP Quarterly Report
867 2015 MBP Quarterly Report (Rev 3/15) Excel Link
867i 2015 MBP Quarterly Report Instructions (Rev 11/14) PDF Link
 Multiple-Beneficiary Permittee Quarterly Report
867 2015 Multiple-Beneficiary Permittee Quarterly Report Fill In (Rev 11/14) Excel Link
867i 2015 Multiple-Beneficiary Permittee Quarterly Report Instructions (Rev 11/14) PDF Link
Distributor Forms
 Distributor Application
837 2015 Distributor Application  Fill In (Rev 9/14) PDF Link
Manufacturer Forms
 Manufacturer Application
853 2015 Manufacturer Application Fill In (Rev 9/14) PDF Link
2014 Forms
Permittee Forms
Applications
 Permittee Application
826i 2014 Permittee Application Instructions (Rev 8/13) PDF Link
826a 2014 Permittee Application Amended Fill In (Rev 8/13) PDF Link
826ai 2014 Permittee Application Amended Instructions (Rev 8/13) PDF Link
826rc 2014 Permittee Application Check List Renewal (Rev 8/13) PDF Link
826 2014 Permittee Application Fill In (Rev 9/14) PDF Link
826l 2014 Permittee Application Cover Letter (Rev 10/13) Word Link
 Pull-Tab Vendor Signature Attachment
854 2014 Pull-Tab Vendor Signature Attachment Fill In (Rev 8/13) PDF Link
 Permittee Test Available Online
862 2014 Permittee Test (Rev 10/13) PDF Link
Reports
 Calcutta Pool Report
810 2014 Calcutta Pool Report (Rev 10/13) PDF Link
 Permittee Quarterly Report
828 2014 Permittee Quarterly Report Fill In (Rev 10/13) Excel Link
828i 2014 Permittee Quarterly Report Instructions (Rev 10/13) PDF Link
Operator Forms
Applications
 Operator Application
847a 2014 Operator Application Amended Fill In (Rev 8/13) PDF Link
847ai 2014 Operator Application Amended Instructions (Rev 8/13) PDF Link
847l 2014 Operator Application Cover Letter (Rev 10/13) Word Link
847 2014 Operator Application  Fill In (Rev 8/13) PDF Link
847i 2014 Operator Application Instructions (Rev 9/13) PDF Link
 Operator Surety
847c 2014 Operator Surety Bond Fill In (Rev 8/13) PDF Link
 Assignment of Cash
847d 2014 Assignment of Cash Deposit Fill In (Rev 4/13) PDF Link
 Operating Contract
856 2014 Operating Contract  Fill In (Rev 4/13) PDF Link
Reports
 Operator Annual Report
844 2014 Operator Annual Report Fill In (Rev 11/14) Excel Link
844i 2014 Operator Annual Report Instructions (Rev 11/14) PDF Link
 Operator Quarterly Report
843 2014 Operator Quarterly Report Fill In (Rev 9/12) Excel Link
843i 2014 Operator Quarterly Report Instructions (Rev 10/13) PDF Link
MBP (Multiple-Beneficiary Permittee) Forms
Applications
 Multiple-Beneficiary Permittee Application
859a 2014 Multiple-Beneficiary Permittee Application Amended Fill In (Rev 10/13) PDF Link
859ai 2014 Multiple-Beneficiary Permittee Application Amended Instructions (Rev 8/13) PDF Link
859l 2014 Multiple-Beneficiary Permittee Application Cover Letter (Rev 10/13) Word Link
859 2014 Multiple-Beneficiary Permittee Application Fill In (Rev 10/13) PDF Link
859i 2014 Multiple-Beneficiary Permittee Application Instructions (Rev 8/13) PDF Link
Reports
 Multiple-Beneficiary Permittee Annual Report
866 2014 Multiple-Beneficiary Permittee Annual Report Fill In (Rev 11/14) Excel Link
866i 2014 Multiple-Beneficiary Permittee Annual Report Instructions (Rev 11/14) PDF Link
 Multiple-Beneficiary Permittee Quarterly Report
867 2014 Multiple-Beneficiary Permittee Quarterly Report Fill In (Rev 10/13) Excel Link
867i 2014 Multiple-Beneficiary Permittee Quarterly Report Instructions (Rev 10/13) PDF Link
Distributor Forms
 Distributor Application
837l 2014 Distributor Application Cover Letter (Rev 10/13) Word Link
837 2014 Distributor Application Fill In (Rev 8/13) PDF Link
Manufacturer Forms
 Manufacturer Application
853l 2014 Manufacturer Application Cover Letter (Rev 10/13) Word Link
853 2014 Manufacturer Application Fill In (Rev 8/13) PDF Link
Other Forms
 Request for Gaming Information
876 2014 Request for Gaming Information (Rev 11/14) PDF Link
2013 Forms
Instructions
 Permittee Annual Financial Statement
833i 2013 Permittee Annual Financial Statement Instructions (Rev 10/13) Excel Link
833ii 2013 Permittee Annual Financial Statement Instructions Instructions (Rev 10/13) PDF Link
833EZ 2013 Permittee Annual Financial Statement -EZ Fill In (Rev 10/13) Excel Link
833EZi 2013 Permittee Annual Financial Statement -EZ Instructions (Rev 10/13) PDF Link
Permittee Forms
Applications
 Permittee Application
826i 2013 Permittee Application Instructions (Rev 9/12) PDF Link
826a 2013 Permittee Application Amended Fill In (Rev 4/13) PDF Link
826ai 2013 Permittee Application Amended Instructions (Rev 9/12) PDF Link
826rc 2013 Permittee Application Check List Renewal (Rev 10/12) PDF Link
826 2013 Permittee Application Fill In (Rev 4/13) PDF Link
826l 2013 Permittee Application Cover Letter (Rev 9/12) PDF Link
 Pull-Tab Vendor Signature Attachment
854 2013 Pull-Tab Vendor Signature Attachment Fill In (Rev 4/13) PDF Link
 Permittee Test Available Online
862 2013 Permittee Test (Rev 7/12) PDF Link
Reports
 Calcutta Pool Report
810 2013 Calcutta Pool Report (Rev 9/12) PDF Link
 Permittee Quarterly Report
828 2013 Permittee Quarterly Report Fill In (Rev 11/12) Excel Link
828i 2013 Permittee Quarterly Report Instructions (Rev 12/12) PDF Link
Operator Forms
Applications
 Operator Application
847a 2013 Operator Application Amended Fill In (Rev 4/13) PDF Link
847ai 2013 Operator Application Amended Instructions (Rev 9/12) PDF Link
847l 2013 Operator Application Cover Letter (Rev 9/12) PDF Link
847 2013 Operator Application  Fill In (Rev 4/13) PDF Link
847i 2013 Operator Application Instructions (Rev 8/12) PDF Link
 Operator Surety
847c 2013 Operator Surety Bond Fill In (Rev 4/13) PDF Link
Reports
 Operator Annual Report
844 2013 Operator Annual Report Fill In (Rev 10/13) Excel Link
844i 2013 Operator Annual Report Instructions (Rev 10/13) PDF Link
 Operator Quarterly Report
843 2013 Operator Quarterly Report Fill In (Rev 9/12) Excel Link
843i 2013 Operator Quarterly Report Instructions (Rev 11/12) PDF Link
MBP (Multiple-Beneficiary Permittee) Forms
Applications
 Multiple-Beneficiary Permittee Application
859a 2013 Multiple-Beneficiary Permittee Application Amended Fill In (Rev 4/13) PDF Link
859ai 2013 Multiple-Beneficiary Permittee Application Amended Instructions (Rev 9/12) PDF Link
859l 2013 Multiple-Beneficiary Permittee Application Cover Letter (Rev 9/12) PDF Link
859 2013 Multiple-Beneficiary Permittee Application Fill In (Rev 4/13) PDF Link
859i 2013 Multiple-Beneficiary Permittee Application Instructions (Rev 9/12) PDF Link
Reports
 Multiple-Beneficiary Permittee Annual Report
866 2013 Multiple-Beneficiary Permittee Annual Report Fill In (Rev 10/13) Excel Link
866i 2013 Multiple-Beneficiary Permittee Annual Report Instructions (Rev 10/13) PDF Link
 Multiple-Beneficiary Permittee Quarterly Report
867 2013 Multiple-Beneficiary Permittee Quarterly Report Fill In (Rev 11/12) Excel Link
867i 2013 Multiple-Beneficiary Permittee Quarterly Report Instructions (Rev 9/12) PDF Link
Distributor Forms
 Distributor Application
837l 2013 Distributor Application Cover Letter (Rev 9/12) PDF Link
837 2013 Distributor Application Fill In (Rev 4/13) PDF Link
Manufacturer Forms
 Manufacturer Application
853l 2013 Manufacturer Application Cover Letter (Rev 9/12) PDF Link
853 2013 Manufacturer Application Fill In (Rev 4/13) PDF Link
2012 Forms
Instructions
 Permittee Annual Financial Statement
833i 2012 Permittee Annual Financial Statement Instructions Fill In (Rev 11/12) Excel Link
833ii 2012 Permittee Annual Financial Statement Instructions Instructions (Rev 12/12) PDF Link
833EZ 2012 Permittee Annual Financial Statement -EZ Fill In (Rev 10/12) Excel Link
833EZi 2012 Permittee Annual Financial Statement -EZ Instructions (Rev 11/12) PDF Link
 Permittee Quarterly Report
828 2012 Permittee Quarterly Report (Rev 3/12) Excel Link
828i 2012 Permittee Quarterly Report Instructions (Rev 9/12) PDF Link
Permittee Forms
Reports
 Permittee Quarterly Report
828 2012 Permittee Quarterly Report  Fill In (Rev 3/12) Excel Link
Operator Forms
 Operator Annual Report
844 2012 Operator Annual Report Fill In (Rev 11/12) Excel Link
844i 2012 Operator Annual Report Instructions (Rev 9/12) PDF Link
 Operator Quarterly Report
843 2012 Operator Quarterly Report (Rev 3/12) PDF Link
843i 2012 Operator Quarterly Report Instructions (Rev 3/12) PDF Link
MBP (Multiple-Beneficiary Permittee) Forms
 Multiple-Beneficiary Permittee Annual Report
866 2012 Multiple-Beneficiary Permittee Annual Report Fill In (Rev 11/12) Excel Link
866i 2012 Multiple-Beneficiary Permittee Annual Report Instructions (Rev 9/12) PDF Link
 Multiple-Beneficiary Permittee Quarterly Report
867 2012 Multiple-Beneficiary Permittee Quarterly Report Fill In (Rev 4/12) Excel Link
867i 2012 Multiple-Beneficiary Permittee Quarterly Report Instructions (Rev 4/12) PDF Link
2011 Forms
Instructions
 Permittee Annual Financial Statement
833i 2011 Permittee Annual Financial Statement Instructions (Rev 1/12) Excel Link
833ii 2011 Permittee Annual Financial Statement Instructions Instructions (Rev 3/12) PDF Link
833EZ 2011 Permittee Annual Financial Statement -EZ Fill In (Rev 2/12) Excel Link
833EZi 2011 Permittee Annual Financial Statement -EZ Instructions (Rev 3/12) PDF Link
 Permittee Quarterly Report
828i 2011 Permittee Quarterly Report Instructions (Rev 1/11) PDF Link
Permittee Forms
Reports
 Calcutta Pool Report
810 2011 Calcutta Pool Report (Rev 1/11) PDF Link
 Permittee Quarterly Report
828 2011 Permittee Quarterly Report (Rev 1/11) Excel Link
Operator Forms
 Operator Annual Report
844 2011 Operator Annual Report (Rev 2/12) Excel Link
844i 2011 Operator Annual Report Instructions (Rev 3/12) PDF Link
 Operator Quarterly Report
843 2011 Operator Quarterly Report (Rev 12/10) Excel Link
843i 2011 Operator Quarterly Report Instructions (Rev 12/10) PDF Link
MBP (Multiple-Beneficiary Permittee) Forms
 Multiple-Beneficiary Permittee Annual Report
866 2011 Multiple-Beneficiary Permittee Annual Report (Rev 2/12) Excel Link
866i 2011 Multiple-Beneficiary Permittee Annual Report Instructions (Rev 12/10) PDF Link
 Multiple-Beneficiary Permittee Quarterly Report
867 2011 Multiple-Beneficiary Permittee Quarterly Report (Rev 12/10) PDF Link
867i 2011 Multiple-Beneficiary Permittee Quarterly Report Instructions (Rev 12/10) PDF Link
2010 Forms
Instructions
 Permittee Annual Financial Statement
833i 2010 Permittee Annual Financial Statement Instructions (Rev 12/10) Excel Link
833il 2010 Permittee Annual Financial Statement Instructions Cover Letter (Rev 1/11) PDF Link
833ii 2010 Permittee Annual Financial Statement Instructions Instructions (Rev 12/10) PDF Link
833EZ 2010 Permittee Annual Financial Statement -EZ (Rev 12/10) PDF Link
833EZi 2010 Permittee Annual Financial Statement -EZ Instructions (Rev 12/10) PDF Link
 Permittee Quarterly Report
828i 2010 Permittee Quarterly Report Instructions (Rev 10/09) PDF Link
Permittee Forms
Reports
 Calcutta Pool Report
810 2010 Calcutta Pool Report (Rev 10/09) PDF Link
 Permittee Quarterly Report
828 2010 Permittee Quarterly Report (Rev 1/10) Excel Link
Operator Forms
 Operator Annual Report
844 2010 Operator Annual Report (Rev 12/10) Excel Link
844l 2010 Operator Annual Report Cover Letter (Rev 1/11) PDF Link
844i 2010 Operator Annual Report Instructions (Rev 12/10) PDF Link
 Operator Quarterly Report
843 2010 Operator Quarterly Report (Rev 10/09) PDF Link
843i 2010 Operator Quarterly Report Instructions (Rev 10/09) PDF Link
MBP (Multiple-Beneficiary Permittee) Forms
 Multiple-Beneficiary Permittee Annual Report
866 2010 Multiple-Beneficiary Permittee Annual Report (Rev 12/10) Excel Link
866l 2010 Multiple-Beneficiary Permittee Annual Report Cover Letter (Rev 1/11) PDF Link
866i 2010 Multiple-Beneficiary Permittee Annual Report Instructions (Rev 12/10) PDF Link
 Multiple-Beneficiary Permittee Quarterly Report
867 2010 Multiple-Beneficiary Permittee Quarterly Report (Rev 12/09) PDF Link
867i 2010 Multiple-Beneficiary Permittee Quarterly Report Instructions (Rev 10/09) PDF Link
2009 Forms
Instructions
 Permittee Annual Financial Statement
833i 2009 Permittee Annual Financial Statement Instructions (Rev 1/10) Excel Link
833ii 2009 Permittee Annual Financial Statement Instructions Instructions (Rev 10/09) PDF Link
833ii 2009 Permittee Annual Financial Statement Instructions Instructions (Rev 1/09) PDF Link
833EZ 2009 Permittee Annual Financial Statement -EZ Fill In (Rev 10/09) PDF Link
833EZi 2009 Permittee Annual Financial Statement -EZ Instructions (Rev 10/09) PDF Link
Permittee Forms
Reports
 Calcutta Pool Report
810 2009 Calcutta Pool Report (Rev 1/09) PDF Link
 Permittee Quarterly Report
828 2009 Permittee Quarterly Report (Rev 1/09) Excel Link
828i 2009 Permittee Quarterly Report Instructions (Rev 1/09) PDF Link
Operator Forms
 Operator Annual Report
844 2009 Operator Annual Report (Rev 10/09) PDF Link
844l 2009 Operator Annual Report Cover Letter (Rev 1/09) PDF Link
844i 2009 Operator Annual Report Instructions (Rev 10/09) PDF Link
 Operator Quarterly Report
843 2009 Operator Quarterly Report (Rev 1/09) PDF Link
843i 2009 Operator Quarterly Report Instructions (Rev 1/09) PDF Link
MBP (Multiple-Beneficiary Permittee) Forms
 Multiple-Beneficiary Permittee Annual Report
866 2009 Multiple-Beneficiary Permittee Annual Report (Rev 10/09) PDF Link
866l 2009 Multiple-Beneficiary Permittee Annual Report Cover Letter (Rev 1/09) PDF Link
866i 2009 Multiple-Beneficiary Permittee Annual Report Instructions (Rev 10/09) PDF Link
 Multiple-Beneficiary Permittee Quarterly Report
867 2009 Multiple-Beneficiary Permittee Quarterly Report (Rev 1/09) Excel Link
867i 2009 Multiple-Beneficiary Permittee Quarterly Report Instructions (Rev 1/09) PDF Link
2008 Forms
Instructions
 Permittee Annual Financial Statement
833i 2008 Permittee Annual Financial Statement Instructions (Rev 1/09) Excel Link
833il 2008 Permittee Annual Financial Statement Instructions Cover Letter (Rev 1/12) PDF Link
833ii 2008 Permittee Annual Financial Statement Instructions Instructions (Rev 1/09) PDF Link
833EZ 2008 Permittee Annual Financial Statement -EZ (Rev 1/09) Excel Link
833EZi 2008 Permittee Annual Financial Statement -EZ Instructions (Rev 1/09) PDF Link
 Permittee Quarterly Report
828i 2008 Permittee Quarterly Report Instructions (Rev 1/08) PDF Link
Permittee Forms
Reports
 Calcutta Pool Report
810 2008 Calcutta Pool Report (Rev 1/08) PDF Link
 Permittee Quarterly Report
828 2008 Permittee Quarterly Report (Rev 3/08) PDF Link
Operator Forms
 Operator Annual Report
844 2008 Operator Annual Report (Rev 1/09) Excel Link
844i 2008 Operator Annual Report Instructions (Rev 1/09) PDF Link
 Operator Quarterly Report
843 2008 Operator Quarterly Report (Rev 1/08) PDF Link
843i 2008 Operator Quarterly Report Instructions (Rev 1/08) PDF Link
MBP (Multiple-Beneficiary Permittee) Forms
 Multiple-Beneficiary Permittee Annual Report
866 2008 Multiple-Beneficiary Permittee Annual Report (Rev 1/09) Excel Link
866l 2008 Multiple-Beneficiary Permittee Annual Report Cover Letter (Rev 1/08) PDF Link
866i 2008 Multiple-Beneficiary Permittee Annual Report Instructions (Rev 1/09) PDF Link
 Multiple-Beneficiary Permittee Quarterly Report
867 2008 Multiple-Beneficiary Permittee Quarterly Report (Rev 1/08) Excel Link
867i 2008 Multiple-Beneficiary Permittee Quarterly Report Instructions (Rev 1/08) PDF Link
Distributor Forms
 Distributor Monthly Report
839 2008 Distributor Monthly Report (Rev 1/08) Excel Link
839l 2008 Distributor Monthly Report Cover Letter (Rev 1/08) PDF Link
Manufacturer Forms
 Manufacturer Monthly Report
836 2008 Manufacturer Monthly Report (Rev 1/08) Excel Link
2007 Forms
Instructions
 Permittee Annual Financial Statement
833i 2007 Permittee Annual Financial Statement Instructions (Rev 1/08) PDF Link
833il 2007 Permittee Annual Financial Statement Instructions Cover Letter (Rev 1/08) PDF Link
833ii 2007 Permittee Annual Financial Statement Instructions Instructions (Rev 1/08) PDF Link
833EZ 2007 Permittee Annual Financial Statement -EZ (Rev 1/08) PDF Link
833EZi 2007 Permittee Annual Financial Statement -EZ Instructions (Rev 1/08) PDF Link
Permittee Forms
Reports
 Calcutta Pool Report
810 2007 Calcutta Pool Report Fill In (Rev 12/06) PDF Link
 Permittee Quarterly Report
828 2007 Permittee Quarterly Report Fill In (Rev 12/06) PDF Link
828i 2007 Permittee Quarterly Report Instructions (Rev 12/06) PDF Link
Operator Forms
 Operator Annual Report
844 2007 Operator Annual Report (Rev 1/08) Excel Link
844l 2007 Operator Annual Report Cover Letter (Rev 1/08) PDF Link
844i 2007 Operator Annual Report Instructions (Rev 1/08) PDF Link
 Operator Quarterly Report
843 2007 Operator Quarterly Report Fill In (Rev 11/06) PDF Link
843i 2007 Operator Quarterly Report Instructions (Rev 1/06) PDF Link
MBP (Multiple-Beneficiary Permittee) Forms
 Multiple-Beneficiary Permittee Annual Report
866 2007 Multiple-Beneficiary Permittee Annual Report Fill In (Rev 1/08) Excel Link
866l 2007 Multiple-Beneficiary Permittee Annual Report Cover Letter (Rev 1/07) PDF Link
866i 2007 Multiple-Beneficiary Permittee Annual Report Instructions (Rev 1/08) PDF Link
 Multiple-Beneficiary Permittee Quarterly Report
867 2007 Multiple-Beneficiary Permittee Quarterly Report Fill In (Rev 12/06) PDF Link
867i 2007 Multiple-Beneficiary Permittee Quarterly Report Instructions (Rev 12/06) PDF Link
Distributor Forms
 Distributor Monthly Report
839 2007 Distributor Monthly Report Fill In (Rev 10/07) PDF Link
839l 2007 Distributor Monthly Report Cover Letter (Rev 1/07) PDF Link
Manufacturer Forms
 Manufacturer Monthly Report
836 2007 Manufacturer Monthly Report (Rev 12/06) PDF Link
836l 2007 Manufacturer Monthly Report Cover Letter (Rev 1/07) PDF Link
2006 Forms
Instructions
 Permittee Annual Financial Statement
833i 2006 Permittee Annual Financial Statement Instructions Fill In (Rev 1/07) PDF Link
833il 2006 Permittee Annual Financial Statement Instructions Cover Letter (Rev 1/07) PDF Link
833ii 2006 Permittee Annual Financial Statement Instructions Instructions (Rev 1/07) PDF Link
833EZ 2006 Permittee Annual Financial Statement -EZ (Rev 11/06) PDF Link
833EZi 2006 Permittee Annual Financial Statement -EZ Instructions (Rev 11/06) PDF Link
 Permittee Quarterly Report
828 2006 Permittee Quarterly Report (Rev 12/05) Excel Link
828i 2006 Permittee Quarterly Report Instructions (Rev 11/05) PDF Link
Operator Forms
Reports
 Operator Annual Report
844 2006 Operator Annual Report Fill In (Rev 11/06) Excel Link
844l 2006 Operator Annual Report Cover Letter (Rev 11/06) PDF Link
844i 2006 Operator Annual Report Instructions (Rev 11/06) PDF Link
MBP (Multiple-Beneficiary Permittee) Forms
 Multiple-Beneficiary Permittee Annual Report
866 2006 Multiple-Beneficiary Permittee Annual Report Fill In (Rev 12/06) PDF Link
866i 2006 Multiple-Beneficiary Permittee Annual Report Instructions (Rev 12/06) PDF Link
2005 Forms
2004 Forms
2003 Forms
2002 Forms
2001 Forms
2000 Forms
 


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