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Prior to submitting your license application and disclosure please be aware that:
All questions on the license application and disclosure forms must be answered completely and truthfully. Failure to do so may result in a delay in processing your paperwork, denial of the license, or other action against your license including suspension or revocation.
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If a question or section does not apply to you, indicate this with “n/a” or “none” as a response.
All information on the application and disclosure forms must be typed or printed legibly in black ink, except for initials and signatures. Use blue ink when signing, dating, or initialing any page of the documents.
Be sure to have the Certification Page of the disclosure and the Authorization of Release of Information Form notarized prior to submission.
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Completed license applications and disclosures should be submitted through the Human Resources Department of the licensed gaming facility you are associated with or through the Compliance Department of the company where you are employed.
Licensees are responsible for adhering to all requirements of the Kansas Expanded Lottery Act and K.A.R. 112-100-1 et.seq, other applicable Kansas laws and Commission regulations, and the internal controls of the respective lottery gaming facility where they are employed. Failing to do so may be the basis for action against your gaming license, including refusing to issue, denial, suspension, or revocation.
If you have any questions about completing your license application or disclosure forms, contact the KRGC Licensing Division at 785-296-5800.