Montana Department of Justice
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Forms (Gambling & Liquor)

These forms are available to download, fill in, save and print. You may fill the form in on your computer or you may print and fill out the form manually.

Gambling Control Division
Department of Justice
2550 Prospect Avenue
P.O. Box 201424
Helena, MT 59620-1424

Scroll down this page until you find the form you need. (New applicants should use the Alcohol Beverage/Gambling Operator Combined License Application in the Licensing section.)

Liquor licensing forms that are jointly available from the Montana departments of Revenue and Justice are noted with a “DOR/LQ” designation in the Form Number column.

Licensing

Title Description Form Number Revised Date Downloadable Format
Alcoholic Beverage/ Gambling Operator Combined License Application and Liquor Authorization Form. Required for a new alcoholic beverage license and/or a new or amended gambling license. Liquor authorization forms required by the Department of Revenue. 5, Guide & LIQ-AUTH 6/13 and 3/13
Antique Illegal Gambling Device Dealer License A person may not sell more than three antique slot machines in a 12-month period without first obtaining this license. 15 4/09 Form15
Business Statement Any change in management employees, officers or directors must be reported to the department. 30 06/14 Form30
Card Room Contractor License Application For a person who leases space from a licensed gambling operator to conduct legal card games. 9 3/09 Form9
Certified Survey Affidavit Required for a new alcoholic beverage license or a change of location. It establishes the quota area for a license. Survey DOR/LQ 06/13 Survey
Combined Amended Liquor and Gambling License Short Form Use this form to apply for a change in ownership among licensees resulting from a death, divorce, gift, or sale of ownership interest. This form can also be used for a change in location (Gambling Manf./Dist./Route Operator only) and changes related to foreclosure. 37 12/12
Fire Code Letter An informational letter alerting applicants to common fire code deficiencies in buildings. 526 DOR/LQ 4/07 FireCode
Liquor and/or Gambling Short Form Use is limited to changes in type of business entity, increase of current ownership interest from less than 10% to more than 10%, and transer of location (GOA and/or ONP only). 39 1/13
Manufacturer/ Distributor/ Route Operator License Application For licensing individuals who assemble, sell or lease gambling devices. 17 10/09 Form17
NIL To notify the department of any licensee intending to acquire a non-institutional loan or other non-institutional source of financing. The disclosure form allows the department to review necessary documents to determine qualification and suitability as a lender. 13 3/08 Form13
On-Premises Notice Acknowledges that an applicant for a new on-premise beer license within an incorporated city is not allowed gambling. On-premnot DOR/LQ 2/02 On-Premnot
Personal/Criminal History Statement All licensees, applicants, managers, officers or directors must complete this form. 10 10/07 Form10
Secured Party Addition/ Assignment Form To add a secured party to the face of an alcoholic beverage license or assign a security interest. M-1 DOR/LQ 11/14 M-1
Secured Party Continuation/ Termination Form To remove a secured party from the face of an alcoholic beverage license or continue a secured party when a license transfers ownership. M-2 DOR/LQ 1/15 M-2
Sports Tab Game Seller License Application For a person who intends to sell sports tabs to a sponsor. 20 5/09 Form20

Permit and Machine Licensure

Title Description Form Number Revised Date Downloadable Format
Live Card Table Application A person who has been granted an operator’s license may receive a permit for placement of a table. 29 4/97 Form29
Live Keno/ Bingo Application A person who has been granted an operator’s license may receive a permit for live keno, live bingo or both. 25 10/05 Form25
Video Gambling Machine Application A person who has been granted an operator’s license and a license to sell alcoholic beverages for consumption on the premises may obtain a video gambling machine permit. Permits are renewed each year and are prorated each quarter. 8 10/06 Form8
Video Gambling Machine Letter of Withdrawal To be submitted to the department when a permitted machine is removed from play prior to the annual June 30 renewal deadline. 27 11/03 Form27
Video Gambling Machine Replacement Permit Request To be submitted to the department when a permit is lost in the mail, after receipt, placed on the wrong machine, or for some other reason must be replaced. 28 4/97 Form28

Special Licenses

Title Description Form Number Revised Date Downloadable Format
Calcutta Pool Application For an organization wherein participants in the auction pool bid on the competitors in an underlying event. 26 3/07 Form26
Card Dealer License Application Required for individuals who wish to deal cards in live card games of panguingue or poker. The application package is not available online. See Card Dealer Licenses for further information. Currently licensed dealers can Renew Online. Application package available from a driver exam station.
Casino Night Permit Application For a nonprofit organization that wants to offer live card games, live bingo and raffles. 11 3/07 Form11
Casino Night Reporting Form For a nonprofit organization to report to the department a financial accounting of a casino night. 12 3/07 Form12
Large Stakes Card Game Tournament Permit Application & Notification From For an operator with an existing live table permit to apply for an annual permit to conduct large stakes card game tournaments. 14A 6/14 Form14A
Small Stakes Card Game Tournament Permit Application Form For an operator with an existing live table permit to apply for an annual permit to conduct small stakes card game tournaments. 14B 9/13 Form14B
Special Bingo Session Form
For an operator with an existing live bingo permit to apply for a permit to conduct a special bingo session. 38 8/11 Form38

Video Gambling Machine Shipment, Acquisition, Import, Export and Service

Title Description Form Number Revised Date Downloadable Format
Application to Import/ Export Gambling Devices or Associated Equipment To apply for department approval to import or export illegal/legal gambling devices or associated equipment. 22 11/97 Form22
VGMID Number Application Form Used by video gambling machine (VGM) manufacturers to obtain VGMID numbers for new video gambling machines being introduced to the Montana market. 35 7/07 Form35
Video Gambling Device Acquisition Notification For reporting the purchase of a legal video gambling device from another licensee. 19B 11/01  Form19B
Video Gambling Device Shipment Notification For reporting the sale of a legal video gambling device to another licensee.  This form may also be used to report the destruction of video gambling machines. 19A 12/01  Form19A
Video Gambling Machine Service Form For reporting the repair of a video gambling device when the repair may cause a loss of memory or change in the machine’s meter readings. 24 11/01 Form24

Tax Reporting

Title Description Form Number Revised Date Downloadable Format
Live Keno/ Bingo Game Tax Return Each location owner must complete this form for reporting and filing annual live game tax returns. 16 Form16
Machine Gross Income Page Each machine owner or a designated representative must complete this form for reporting and filing quarterly tax reports and machine income. 6(a) 10/05 Form6(a)
Quarterly Tax Reporting Form Instructions Instruction form for machine owners to assist them in filling out quarterly tax returns. QTRLY-INSTRUCT-SHEET 12/05 QTRLY-Instuct-Sheet
VGM Quarterly Tax Reporting Form Cover Sheet Machine owners must complete the cover sheet for location of machines, shares of machine income, tax payment due, and an authorized signature. 6 9/04 Form6
VGM Reporting System Owner/Operator Registration For location operators/machine owners to register the approved accounting and reporting system (including web entry) they will use to report video gambling machine tax data. 34 10/07 Form34
VGM Reporting System Route Operator Registration For route operators/machine owners to register the approved accounting and reporting system (including web entry) they will use to report video gambling machine tax data. 34a 10/07 Form34a

 

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Attorney General's Office & Legal Services Division

The Attorney General’s Office, headed by Attorney General Tim Fox, and the Legal Services Division function as the lawyers for the State of Montana. The attorneys in the Office have expertise in a wide range of legal topics and handle a broad range of legal cases involving the State of Montana and its people.

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Children’s Justice Bureau

The Children’s Justice Bureau is an agency-wide initiative at the Montana Department of Justice dedicated to IMPROVING how we respond to child victims, DEVELOPING state-of-the-art approaches by keeping up with the newest research and, most importantly, HELPING child victims recover and move on with their lives.

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Forensic Science Division & State Crime Lab

The mission of the Montana Forensic Science Division is to use operationally efficient and financially responsible practices as the laboratory provides accurate, objective, and timely forensic analyses to the criminal justice community in order to maximize value to the citizens of Montana.

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Missing Persons Clearinghouse

The Missing Children Act of 1985 established a Montana Missing Persons Clearinghouse within the Department of Justice. In March 2008, the department implemented a searchable online database that, for the first time, is updated in real time and includes any photos provided by law enforcement.

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Office of Victim Services

The goal of the Office of Victim Services is to provide tools and information to help crime victims recover from their experience and provide them with a range of services available. The criminal justice system can be confusing and intimidating for victims. To assist them as they go through the justice system, the Office of Victim Service is available to answer any questions they may have.

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Central Services Division

The Montana Department of Justice’s Central Services Division provides financial and human resources support for the department. We make sure that everything works for the people Working for Justice. If you’re interested in a rewarding career helping protect the rights and safety of all Montanans, we invite you to join our team of over 800 dedicated employees working across the state.

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Justice Information Technology Services Division

Our Justice Information Technology Services Division (JITSD) provides vital Information Technology (IT) infrastructure upon which Montanans and lojitsdcal and state law enforcement agencies rely for timely, accurate information. JITSD manages the IT systems, services, and interfaces to support nearly 800 DOJ employees, 325 statewide county motor vehicle system users, and over 3,000 Criminal Justice Information Network (CJIN) users across the state.

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Division of Criminal Investigation

The Division of Criminal Investigation (DCI) at the Montana Department of Justice is involved in many aspects of Montana law enforcement and is integral to the Department dciof Justice’s mission of promoting public safety.

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Montana Highway Patrol

Montana is rich in natural beauty and history. From Glacier Park in the west to Makoshika Park in the east, the men and women of the Montana Highway Patrol are working hard to make your travels safe and enjoyable. The Highway Patrol’s core values are “Service, Integrity and Respect.” These values are reflected in our commitment to public safety through diligent and fair enforcement of our traffic codes.

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Montana Law Enforcement Academy

The Montana Law Enforcement Academy is the premier law enforcement and public safety educational and training institution for state, county, city and tribal officers throughout the state. The Academy offers entry-level programs referred to as Basic Programs and advanced training through an array of Professional Development Programs.

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Public Safety Officer Standards & Training

The Council was formed in 2007 under 2-15-2029, MCA as an independent Quasi-judicial board. And as allowed by statute the Council adopted Administrative Rules in order to implement the provisions of Title 44, chapter 4, part 4, MCA. Per 44-4-403, MCA the Council is required to set employment and training standards for all Public Safety Officers as defined in 44-4-401, MCA and in addition the Council shall provide for the certification or recertification of public safety officers and for the suspension or revocation of certification of public safety officers.

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Gambling Control Division

Through the Gambling Control Division, the Department of Justice regulates all forms of gambling in Montana, except for the Montana Lottery and horse racing. The legislature has charged the division with maintaining a uniform regulatory climate that is fair and free of corrupt influences. The division is also responsible for collecting gambling revenue for state and local governments.

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Motor Vehicle Division

The mission of the Motor Vehicle Division (MVD) is to identify and promote efficient, cost-effective programs that benefit the interests, safety, and well-being of Montana citizens through licensing, registering, and regulating the motoring activities of the public. The MVD continuously strives for excellence in customer service. Streamlining the way we do business has allowed us to improve our efficiency and make our services more convenient for our customers.

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Natural Resource Damage Program

The Natural Resource Damage Program (NRDP) was created in 1990 to prepare the state’s lawsuit against the Atlantic Richfield Co. (ARCO) for injuries to the natural resources in the Upper Clark Fork River Basin (UCFRB). Decades of mining and mineral processing operations in and around Butte and Anaconda released substantial quantities of hazardous substances into the Upper Clark Fork River Basin between Butte and Milltown. These hazardous substances extensively degraded the area’s natural resources.

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Office of Consumer Protection

Enforce consumer laws designed to protect the consumer from unfair or deceptive business practices. Enforce statutes relating to telephone solicitation and telemarketing. Provide information to consumers about their basic rights under consumer laws. Assist consumers by distributing consumer education materials including scam and consumer alerts. Investigate false, misleading, or deceptive trade practices.

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Human Trafficking

The Montana Department of Justice has a continued commitment to victims of human trafficking. In partnership with federal authorities, our agency plays a key role in the investigation, enforcement, and prosecution of crimes related to human trafficking in Montana. This form of modern day slavery does happen here in Big Sky Country.

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Prescription Drug Abuse Awareness Program

Montana’s deadliest drugs aren’t made in secret labs and they don’t always come from dealers on the corner. They’re in our own medicine cabinets. Each year, prescription drug abuse contributes to the deaths of more than 300 Montanans — making prescription drug abuse 15 times more deadly than meth, heroin and cocaine combined. Our kids report the third-highest rate of prescription drug abuse in the country and more than half of them say prescription drugs are easier to get than street drugs.

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Safe in Your Space

When it comes to embracing new technology, kids have rapidly outpaced their parents and teachers. By their early school years, many children are already more comfortable on the Internet than their parents. But just because children are smart enough to know how to navigate the Internet, doesn’t mean they have the experience to make good decisions about some of the possibilities they may face online.

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Montana Sexual or Violent Offender Registry

Created by the Montana Department of Justice in 1989, the Sexual or Violent Offender Registry is a valuable resource for Montanans to protect their families against sexual or violent offenders.

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Montana 24/7 Sobriety Program

Drinking and driving has been a chronic – and deadly — problem on Montana’s roadways for decades. In 2008, Montana was ranked as the deadliest state in the nation when it came to per capita DUI-related traffic fatalities.

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Work for Justice

Everyday at The Montana Department of Justice, our employees are dedicated to ensuring the well-being and rights of the people of our great state. We’re passionate about what we do because it’s more than a job or a career. It’s about who we are as people. If this sounds like you, your unique experiences, knowledge, and values may be just what the Montana Department of Justice is looking for and needs. In return we can offer a culture that promotes fairness and growth opportunities.

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