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Charity Gaming Forms

The new forms listed below comply with the new statute that took effect on July 1, 2019.

QUALIFICATIONS (Your organization must first qualify to be eligible to conduct any charity gaming events)

Form IdentifierTitle
CG-QAQualification Application

ANNUAL ACTIVITIES (License issued for a period of twelve (12) months)

Form IdentifierTitle
CG-ALApplication for Annual Activity License

SINGLE ACTIVITIES (A one-time activity)

Form IdentifierTitle
CG-SLApplication for Single Activity License
CG-ENExempt Activity Notification
CG-FESApplication for Festival License
CG-CVNApplication for Convention Raffle License
CG-CCACandidate's Committee Application


Form IdentifierTitle
CG-SCHEDULE AOperator Attachment
CG-SCHEDULE BWorker Attachment
CG-SCHEDULE CBartender Attachment


Form IdentifierTitle
CG-AMLicense Amendment Request(s)
CG-COCurrent Officers
CG-EXPExpedited Application Request
CG-NPANon-Member Participation Approval
CG-VTAVolunteer Ticket Agent
CG-SPSpecial Permission Request


Form IdentifierTitle
CG-AL FRAnnual License Financial Report    Use for - Expiring Annual Activity License
CG-AL GRAnnual License Gross Receipts Report    Use for - Expiring Annual Activity License
CG-SL FRSingle Activity License Financial Report
CG-SL GRSingle Activity Annual Gross Receipts Report
CG-DISTCharitable Contribution Distribution List
CG-INVEnding Inventory Statement
CG-DTLInventory Destruction, Theft or Loss
CG-ESREvent Summary Report
ESR-DWMRaffle Board Daily Weekly Monthly Event Summary Report

ANNUAL AFFILIATE (National Organization/National Foundation only)

Form IdentifierTitle
CG-AALApplication for Annual Affiliate License
CG-AFFAffiliation Attachment for Annual Affiliate License (AAL) Applicants
CG-ALL FRAnnual Affiliate License Financial Report
CG-ANAffiliate Notification
CG-AN ESREvent Summary Report for Affiliate Notification
CG-COCurrent Officers


Form IdentifierTitle
CG-MA/DAManufacturers and/or Distributors Indiana Gaming Card License Application
CG-MDQManufacturer and/or Distributor Quarterly Report
CG-MDNFManufacturers and/or Distributor "Change of Ownership" Notification
CG-MDAManufacturers and/or Distributor "Gaming Card License" Amendment Request