Previous Charity Gaming Forms
Welcome to the new Charity Gaming forms page.
The new forms listed below comply with the new statute that took effect on July 1, 2007.
The numeric identifiers for the old forms have been replaced with alpha symbols on the new forms, and the applications are now license specific to help simplify the application process.
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The only forms that maintained numeric identifiers were the financial reporting forms CG-8, CG-9, CG-21, and CG-22.
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QUALIFICATION (your organization must first qualify to be eligible to conduct any charity gaming events)
FORT WAYNE, Ind. (WANE) Indiana State police and gaming officials have raided a charity casino on Fort Wayne’s northwest side. The Eagles 3512 charity casino at 1820 W. Washington Center Road.
| Form Identifier | Title |
|---|
| CG-QA | Qualification Application |
ANNUAL EVENTS (a license issued for a period of twelve(12) months)
| Form Identifier | Title |
|---|
| CG-AB | Annual Bingo License Application |
| CG-AB(R) | Annual Bingo Renewal Application |
| CG-ADP | Annual Door Prize License Application |
| CG-ADP(R) | Annual Door Prize Renewal Application |
| CG-APT | Annual Pull Tab License Application |
| CG-APT(R) | Annual Pull Tab Renewal Application |
| CG-AR | Annual Raffle License Application |
| CG-AR(R) | Annual Raffle Renewal Application |
| CG-ACGN | Annual Charity Game Night License Application |
| CG-ACGN(R) | Annual Charity Game Night Renewal Application |
| CG-AWR | Annual Water Race Application |
| CG-AWR(R) | Annual Water Race Renewal Application |
| CG-AGG | Annual Guessing Game Application |
| CG-AGG(R) | Annual Guessing Game Renewal Application |
SINGLE EVENTS (a one time event)
| Form Identifier | Title |
|---|
| CG-CGN | Charity Game Night License Application |
| CG-CR | Calendar Raffle License Application (No longer used. Please refer to the CG-AR for Annual Raffle License.) |
| CG-DP | Door Prize License Application |
| CG-EN | Exempt Event Notification |
| CG-FES | Festival License Application |
| CG-CCA | Candidate's Committee Application |
| CG-RAF | Raffle License Application |
| CG-SB | Special Bingo License Application |
| CG-WR | Water Race License Application |
| CG-GG | Guessing Game License Application |
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FINANCIALS
| Form Identifier | Title |
|---|
| CG-8 | Annual License Financial Report |
| CG-9 | Single Event Financial Report |
| CG-21 | Annual Events Gross Receipts Report |
| CG-22 | Single Event Gross Receipts Report |
MISC. REPORTS
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| Form Identifier | Title |
|---|
| CG-DIST | Charitable Contribution Distribution List |
| CG-DTL | Charity Gaming Inventory Destruction, Theft, or Loss Form |
| CG-INV | Charity Gaming Ending Inventory Statement |
| ESR-BIN | Bingo Event Summary Report |
| ESR-CGN | Charity Gaming Night Event Summary Report |
| ESR-DP | Door Prize Event Summary Report |
| ESR-FES | Festival Event Summary Report |
| ESR-GG | Guessing Game Event Summary Report |
| ESR-APT | Annual PPT Event Summary Report |
| ESR-RAF | Raffle Event Summary Report |
| ESR-WR | Water Race Event Summary Report |
| ESR-DWM | Raffle Board Daily Weekly Monthly Event Summary Report |
| CG-AM | License Amendment Request(s) |
| CG-CO | Current Officers |
| CG-LSDS | Licensed Supply Donation Statement |
| CG-NPA | Non-Member Participation Approval Form |
| CG-SP | Special Permission Request |
| CG-VTA | Volunteer Ticket Agent |
SUPPLIERS
| Form Identifier | Title |
|---|
| CG-MA/DA | Manufacturers and/or Distributors Application |
| CG-MDQ | Manufacturers and/or Distributors Quarterly Report |
| CG-MDNF | Manufacturers and/or Distributors Change of Ownership Notification Form |
| CG-MDA | Manufacturers and/or Distributors Gaming Card License Amendment Request |