Header Image

Forms (Gambling & Liquor)

Information Notice: Effective July 1, 2020, the Gambling Control Division will be increasing the processing fees for all new Gambling Operator, VGM Manufacturer, Route Operator, and Distributor license applications received.

 

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. Forms showing “Apply Online” are readily available on TAP to be filled out and submitted online.

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.)

Alcoholic Beverage licensing forms are jointly available from the Montana departments of Revenue and Justice. To find additional Department of Revenue Alcoholic Beverage Control forms go to https://revenue.mt.gov/home/liquor/forms.

TitleForm NumberDescriptionApply OnlineForm Type
VGM Manufacturer Malfunction FormForm 50AThis form is to be filled out and submitted to the Department if the gambling manufacturer finds a hardware or software malfunction.VGM
Location Manager ApplicationForm 30ALicensees must receive approval for location managers who provide general oversight and ensure compliance of the alcoholic beverage and/or gambling operations.Apply OnlineLicensing
Video Gambling Machine Service Form Form 24 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.VGM
Video Gambling Machine Replacement Permit Request Form 28 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.Permit
Video Gambling Machine Malfunction Form Form 50 This form is to be filled out and submitted to the Department if the gambling operator believes a ticket voucher resulted from an alleged machine malfunction.VGM
Video Gambling Machine Letter of Withdrawal Form 27 To be submitted to the department when a permitted machine is removed from play prior to the annual June 30 renewal deadline.VGM
Video Gambling Device Shipment Notification Form 19A 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.VGM
Video Gambling Machine Application Form 8 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.Permit
Video Gambling Device Destruction Form Form 44 This form is designed for you to provide the Division with the information required by A.R.M.23.16.1828(3)
Video Gambling Device Acquisition Notification Form 19B For reporting the purchase of a legal video gambling device from another licensee.VGM
VGMID Number Application Form Form 35 Used by video gambling machine (VGM) manufacturers to obtain VGMID numbers for new video gambling machines being introduced to the Montana market.VGM
VGM Reporting System Route Operator Registration Form 34a 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.Licensing
VGM Reporting System Owner/Operator Registration Form 34 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.Licensing
VGM Quarterly Tax Reporting Form Cover Sheet Form 6 This is the cover sheet for quarterly VGM tax reportingLicensing
Temporary Gambling Authority Form TA This form is to request Temporary Gambling Authority (TGA) to operate gambling activities pending final approval of license. *Note* Applicant must apply for a gambling operator's license online through TAP in order to be eligible to receive TGA.Licensing
Special Bingo Session Form Form 38 For an operator with an existing live bingo permit to apply for a permit to conduct a special bingo session.Permit
Small Stakes Card Game Tournament Permit Application Form Form 14B For an operator with an existing live table permit to apply for an annual permit to conduct small stakes card game tournaments.Permit
Secured Party/Security Interest Form Secured Party/Interest Form Use this form to add, remove, or change secured party information on your alcoholic beverage license.DOR Liquor
Publicly Traded Company Ownership Disclosure Short Form Form 43
Publicly Traded Company Ownership Disclosure Form Form 42
Publicly Traded Company License Application Form 40 Licensing
Publicly Traded Company Business Statement Form 41
Personal/Criminal History Statement Form 10 All licensees, applicants, managers, officers or directors must complete this form.Licensing
On-Premises Notice On-Prem Notice Acknowledges that an applicant for a new on-premise beer license within an incorporated city is not allowed gambling.DOR Liquor
Nonuse Request/Resume Operations Instructions Nonuse Use this form when requesting nonuse or to resume operations of an alcoholic beverage license for any alcoholic beverage license type.Apply Online
Nonprofit Online Raffle Registration Form Form 46 Nonprofit organizations must register with Gambling Control Division in order to conduct online raffles.Licensing
Noncriminal Justice Applicant’s Rights Consent Form Form 10A This form is to accompany all fingerprint submissions when no PHS is required.Licensing
NIL Form 13 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.Licensing
Manufacturer/ Distributor/ Route Operator License Application Form 17 For licensing individuals who assemble, sell or lease gambling devices.Licensing
Machine Gross Income Form 6a This is for machine income calculation of quarterly tax.Licensing
Live Keno/ Bingo Application Form 25 A person who has been granted an operator’s license may receive a permit for live keno, live bingo or both.Permit
Live Card Table Application Form 29 A person who has been granted an operator’s license may receive a permit for placement of a table.Apply OnlinePermit
Large Stakes Card Game Tournament Permit Application & Notification Form Form 14A For an operator with an existing live table permit to apply for an annual permit to conduct large stakes card game tournaments.Permit
Gifting Statement Gifting Statement Licensees need to submit this form to report a gift of funds.
Fire Code Letter Fire Code An informational letter alerting applicants to common fire code deficiencies in buildings.DOR Liquor
Coborrower/Guarantor Payment Notification Form Form 45 A licensee with a loan from a regulated lender must, within 90 days of a coborrower's, guarantor's, or pledgor's payment on the loan, submit to the department on Form 45 all mandatory disclosures and related documentation. If a licensee is a coborrower or guarantor of a non-licensee's loan from a regulated lender, the must, within 90 days of making a payment on the loan, submit to the department on Form 45 all mandatory disclosures and related documentation.
Certified Survey Affidavit Survey Required for a new alcoholic beverage license or a change of location. It establishes the quota area for a license.DOR Liquor
Casino Night Reporting Form Form 12 For a nonprofit organization to report to the department a financial accounting of a casino night.Permit
Casino Night Permit Application Form 11 For a nonprofit organization that wants to offer live card games, live bingo and raffles.Apply OnlinePermit
Card Room Contractor License Application Form 9 For a person who leases space from a licensed gambling operator to conduct legal card games.Licensing
Card Dealer License ApplicationForm 4Required for individuals who wish to deal cards in live card games of panguingue or poker. Renew OnlinePermit
Calcutta Pool Application Form 26 For an organization wherein participants in the auction pool bid on the competitors in an underlying event.Apply OnlinePermit
Business Statement Form 30 Any change in management employees, officers or directors must be reported to the department.Licensing
Application to Import/ Export Gambling Devices or Associated Equipment Form 22 To apply for department approval to import or export illegal/legal gambling devices or associated equipment.VGM
Antique Illegal Gambling Device Dealer License Form 15 A person may not sell more than three antique slot machines in a 12-month period without first obtaining this license.Licensing
Alcoholic Beverages/Gambling Operator Short Form Form 37/39 This form will be used to apply for a change in ownership of the license resulting from 1) a death, 2) divorce, 3) gift, 4) sale among licensees, 5) transfer of location, 6) foreclosure, 7) changes in type of business entity, 8) increase of current ownership interest from less than 10 % to more than 10%,, 9) license type change , 10) disclosure of a new owner under 10% (liquor only) 11) change in ownership less than 10% (liquor only)Apply OnlineLicensing
Alcoholic Beverage/ Gambling Operator Combined License Application Guide Form 5 Guide This is a guideline for filling out the Alcoholic Beverage/ Gambling Operator Combined License Application (Form 5).Licensing Guide
Alcoholic Beverage/ Gambling Operator Combined License Application Form 5 Required for a new alcoholic beverage license and/or a new or amended gambling license. Liquor Authorization Forms are required by the Department of Revenue. *Note* In order to be eligible to receive Temporary Gambling Authority, you must apply online in TAP.Apply OnlineLicensing
Alcoholic Beverage Authorization Form Alcoholic Beverage Authorization Required for a new alcoholic beverage license. Alcoholic Beverage authorization forms required by the Department of Revenue.DOR Alcoholic Beverage
X