Australian Capital Territory

Gambling and Racing Control Act 1999—Approved Forms

approval statement for

Approved Forms AF2015-67 to AF2015-98

made under the

Gambling and Racing Control Act 1999, section 53D (Approved forms)

I, delegate of the Gambling and Racing Commission—
(a)	approve the following forms for the Gaming Machine Act 2004:
•	form Application for a Class B Licence and Authorisation Certificate;
•	form Application for a Class C Authorisation Certificate;
•	form Application for a Class C Licence;
•	form Application for a Minor Licence Amendment;
•	form Application for an In-principle Approval for an Authorisation Certificate;
•	form Application for Approval as a Supplier;
•	form Application for Approval of an Arrangement for the Redistribution of an Undisbursed Jackpot;
•	form Application for Approval of Gaming Machines and Peripheral Equipment;
•	form Application for Approval to Possess or Operate a Gaming Machine Under Stated Conditions;
•	form Application for Approval to Repossess a Gaming Machine;
•	form Application for an Authorisation Certificate Amendment;
•	form Application for Declaration of an Associated Organisation;
•	form Application for Disposal of Gaming Machines;
•	form Application for Replacement of Licence, Authorisation Certificate or Authorisation Schedule;
•	form Application for Approval of a Storage Permit or an Extension of Storage Permit;
•	form Application to Convert an In-principle Authorisation Certificate;
•	form Application to Extend an In-principle Authorisation Certificate;
•	form Application to Transfer an In-principle Authorisation Certificate;
•	form Application for Approval of a Linked Jackpot Arrangement;
•	form Monthly Gaming Machine Return - Club;
•	form Monthly Gaming Machine Return -  Hotel Tavern;
•	form Notification - Acquisition of Authorisations and Gaming Machines;
•	form Notification - Authorisation Certificate Amendment – Technical Amendment – Gaming Machine Replacement or Conversion;
•	form Notification - Disposal of Gaming Machines;
•	form Notification - One-off Increase Maximum Amendment;
•	form Notification - Quarantine Permit Request or Quarantine Permit Extension Request;
•	form Notification – Proposed Removal of a Gaming Machine from General Storage;
•	form Notification - Sale of Class B Authorisations;
•	form Notification - Surrender of Licence, Authorisation Certificate or Authorisations; 
•	form Notification - Transfer of an Authorisation Certificate;
•	form Authorisation Installation Certificate – With or Without Gaming Machines; and
•	form Gaming Machine Installation Certificate – Conversions and Replacements.

(b)	repeal the following forms for the Gaming Machine Act 2004:
•	AF2007-7;
•	AF2007-4;
•	AF2007-23;
•	AF2007-16;
•	AF2007-18;
•	AF2010-170;
•	AF2011-15;
•	AF2011-14;
•	AF2011-16;
•	AF2014-97;
•	AF2009-184;
•	AF2009-183;
•	AF2015-62; and
•	AF2014-127.

to commence on 31 August 2015.

James Mullan
Delegate
Gambling and Racing Commission

26 August 2015