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) Report 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.
Notice of Appeal of Disciplinary Review Board Order
Notice of Appeal of Disciplinary Review Board Order(Notice of Appeal)
Gaming Forms
Link to Gaming Equipment Submission Form Page
Shipping Forms
Shipper Information Form
EGM Equipment Form
Other Gaming Equipment Form
Kansas Bred Program Forms
KRGC Horse Registration Form – Printable
Horse Registration Form Fillable
Contact Us
Address: 700 SW Harrison Suite 500,
Topeka KS, 66603
Phone: (785)-296-5800
Email: krgc@ks.gov
