Illinois Gaming Board
Video Gaming Location License Application
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Instructions
Definitions
Application Status
Help
1.
Register
2.
Applicant Info
3.
Business/Individual Interests
4.
Questions/Answers
5.
Verification
6.
Release Of All Claims
7.
Acknowledgement
8.
Release Of Information
9.
Disclosure of Records
10.
Submit Completed Application to IGB
8. RELEASE OF INFORMATION
The Applicant must submit both a signed
IGB APPLICANT REQUEST TO RELEASE INFORMATION
form (for the location Applicant)
and an
AUTHORIZATION TO RELEASE TAX INFORMATION
form (for the location Applicant)
to enable the Illinois Gaming Board to investigate this Application.
Sign and submit a scanned PDF copy of the
IGB Applicant Request to Release Information
below:
Sign and submit a scanned PDF copy of the
Authorization to Release Tax Information
below:
As part of the background investigation for the location license, identified below are Individuals and Business Entities that are required to sign, have notarized, and submit a PDF copy of the
REQUEST TO RELEASE INFORMATION
form (for Individuals and Business Entities).