Forms

Attention: Sports Wagering Providers

KRGC will be working diligently to get backgrounds and regulations done while the Kansas Lottery will be working alongside us to get contracts in place so that sports wagering can be done in Kansas. If you are interested in providing sports wagering services in Kansas, please contact the Lottery Facility Manager that you are providing service to for communication. KRGC will be providing information to our Lottery Facility Managers on licensing and regulations as we progress through the process. Thank you for your patience as we work through the Sports Wagering process in Kansas.

General Forms

(KRGC) Open Records Act Submission (KORA) Form
(KRGC) of an Alleged Violation– Official Complaint Form

Gaming Licensing Forms

Corporation Application and Disclosure Packets

NOTICE: Individual Background Disclosures and Renewals should not be sent directly to the KRGC but instead should be submitted through the Compliance or Human Resources departments of a licensed gaming facility or supplier applicant.

To obtain any gaming application or renewal form mentioned below, please contact Kim Jackson- Administrative Supervisor of Licensing & Compliance at 785-296-1940 or kim.jackson@ks.gov

Gaming Facility Manager Application Packet – includes Business Entity Disclosure Form.
Supplier Application Packet – Includes Business Entity Disclosure Form.
Institutional Background Investor Packet
Level 1 Individual Disclosure
Level 3 Individual Disclosure

Employee Gaming License Application Packets

NOTICE: Individual Background Disclosures and Renewals should not be sent directly to the KRGC but instead should be submitted through the Compliance or Human Resources departments of a licensed gaming facility or supplier applicant.

Level 1 Gaming Occupation License Application
Level 2 Gaming Occupation License Application
Level 3 Gaming Occupation License Application

Renewal Packets

Gaming Facility Manager Renewals – Includes Business Entity Disclosure Form.
Supplier Renewals – Includes Business Entity Disclosure Form.
Personal Disclosure Renewals – For all levels of licenses.