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Kahnawake Gaming Commission

FORMS

Electronic Gaming Devices

The forms accessible from this page are required for applications and renewals of Electronic Gaming Devices Licences and for other matters related to Electronic Gaming Devices that are licensed and regulated by the Commission.

*NOTE: All forms must be submitted in person at the Kahnawake Gaming Commission office. Our office hours are:  Monday to Friday 8:30 AM to 4:00 PM – CLOSED FOR LUNCH FROM 12:00 PM TO 1:00 PM

Download Full Disclosure Assurance Form

Download Criminal Record Information - Consent Form and Privacy Waiver

Download Schedule A - Application for Operator's License

Download Schedule B - Business Entity Information Form

Download Schedule C - Personal Information Form

Download Schedule D - Application for Key Person Permit

Download Schedule E - Request to Temporarily Close

Download Schedule F - Material Change Report

Download Schedule G - Renewal Application

Download Schedule H - Comprehensive Self-Exclusion Request (English)

Download Schedule H - Comprehensive Self-Exclusion Request (French)

Download Schedule I - Request to Revoke (English)

Download Schedule I - Request to Revoke (French)

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P.O. Box 1799, Route 138,
Kahnawake Mohawk Territory,
Quebec, J0L 1B0, Canada

Fax:
+1 450 635 1139
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