Forms Center
Pari-Mutuel Wagering and Cardroom Permit Forms |
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| Permit Application,
effective: 2012-09-12 |
DBPR PMW-3010 |
| Personal History Record,
effective: 2012-09-12 |
DBPR PMW-3030 |
| Permit Transfer Application from one Existing Permitholder to Another Existing Permitholder,
effective: 2012-09-12 |
DBPR PMW-3040
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| Permitholder Application for Annual License and Operating Dates,
effective: 2016-12-13 |
DBPR PMW-3060 |
| Permitholder Calendar,
effective: 2016-12-13 (Excel File) |
DBPR PMW-3080 |
| Surety Bond For Florida Pari-Mutuel Wagering,
effective 2016-12-13 |
DBPR PMW-3105 |
| Permitholder Application for Annual License to Operate a Cardroom,
effective: 2014-07-21 |
DBPR PMW-3160 |
| Officers and Directors,
effective: 2016-12-13 |
DBPR PMW-3190 |
| Request for Release of Information and Authorization to Release Information,
effective: 2012-09-12 |
DBPR PMW-3195 |
| List of Cardroom Business Occupational Licensees Providing Products and Services to a Cardroom,
effective: 2014-07-21 |
DBPR PMW-3220 |
Pari-Mutuel Wagering and Cardroom Licensing Forms |
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| Animal Owner’s Temporary License Application,
effective: 2020-09-01 |
DBPR PMW-3110 |
| Individual Occupational License Application,
effective: 2020-09-01 |
DBPR PMW-3120 |
| Business Occupational License Application,
effective: 2020-09-01 |
DBPR PMW-3130 |
| Disclosure for Individuals Related to a Business,
effective 2020-09-01 |
DBPR PMW-3140 |
| Request for Waiver,
effective: 2020-09-01 |
DBPR PMW-3180 |
| Request for Release of Information and Authorization to Release Information,
effective: 2012-09-12 |
DBPR PMW-3195 |
| License Upgrade Application,
effective: 2011-09-11 |
DBPR PMW-3450 |
| General Explanatory Description | DBPR 0060 |
| Request for Address or Name Change | DBPR 0080 |
| Duplicate License Request | DBPR 0090 |
Pari-Mutuel Wagering Operations Forms |
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| Veterinary Report of Medication,
effective: 2007-03-04 |
DBPR PMW-3050 |
| Request for Stay,
effective: 2007-03-04 |
DBPR PMW-3090 |
| Request for Appeal of Stewards’/Judges’ Ruling,
effective: 2007-03-04 |
DBPR PMW-3100 |
| Veterinarian Report of Race-Day Salix Administration (SAMPLE) | DBPR PMW-3280 |
| Notification to Stewards/Judges of Split Sample Request,
effective: 2007-03-04 Approved Split Sample Laboratories, 2019-04-23 |
DBPR PMW-3290
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| Bleeder’s Certificate,
effective: 2007-03-04 |
DBPR PMW-3300 |
| Request to Discontinue Salix,
effective: 2007-03-04 |
DBPR PMW-3310 |
| Salix Certification Waiver,
effective: 2007-03-04 |
DBPR PMW-3330 |
| Kennel Personnel Roster,
effective: 2007-03-04 |
DBPR PMW-3360 |
Pari-Mutuel Wagering and Cardroom Auditing Forms |
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| Report of Escheated Outs,
effective: 2007-03-04 |
DBPR PMW-3510 |
| Notification of Pari-Mutuel Operations | DBPR PMW-3520 |
| Statement of Proceeds for Charity Day Performances,
effective: 2007-03-04 |
DBPR PMW-3540 |
| Charity Day Proceeds and Distribution,
effective: 2007-03-04 |
DBPR PMW-3550 |
| Monthly Remittance Report On-Track,
effective: 2007-03-04 (Excel File) |
DBPR PMW-3560 |
| Monthly Remittance Report Intertrack,
effective: 2007-03-04 (Excel File) |
DBPR PMW-3570 |
| Report of System Event or Malfunction,
effective: 2012-09-12 |
DBPR PMW-3580 |
| Notification of Interstate Broadcasting | DBPR PMW-3590 |
| Notification of Intertrack Wagering,
effective: 2007-03-04 |
DBPR PMW-3600 |
| Daily Tracking of Cardroom Jackpot,
effective: 2014-07-21 (Excel file) |
DBPR PMW-3605 |
| Totalisator System Checklist,
effective: 2012-09-12 |
DBPR PMW-3610 |
| Retired Jai Alai Players’ Fund Distribution,
effective: 2007-03-04 |
DBPR PMW-3620 |
| Tickets Purchased and Cashed by the Totalisator Company,
effective: 2007-03-04 |
DBPR PMW-3630 |
| Cardroom Monthly Remittance Report (Excel file) | DBPR PMW-3640 |
Slot Machine Gaming Forms |
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| Disclosure for Individuals Related to a Business,
effective 2020-09-01 |
DBPR PMW-3140 |
| Officers and Directors,
effective: 2016-12-13 |
DBPR PMW-3190 |
| Permitholder Application for Annual Slot Machine License,
effective: 2017 May |
DBPR PMW-3400 |
| Permitholder Renewal Application for Annual Slot Machine License,
effective: 2013-09-26 |
DBPR PMW-3405 |
| Slot Machine Employee Occupational License Application,
effective: 2020-09-01 |
DBPR PMW-3410 |
| Slot Machine Business Entity Occupational License Application,
effective: 2020-09-01 |
DBPR PMW-3420 |
| Slot Machine Storage and Maintenance Facility Supplemental Application | DBPR PMW-3421 |
| Slot Machine Certified Educational Facility License Application,
effective: 2013-09-26 |
DBPR PMW-3422 |
| License Upgrade Application,
effective: 2020-09-01 |
DBPR PMW-3450 |
| Surety Bond for Florida Slot Machine Licensee,
effective: 2020-09-01 |
DBPR PMW-3470 |
| Slot Machine Activity,
effective: 2013-09-26 (Excel file) |
DBPR PMW-3480 |
| Slot Operations Monthly Remittance Report,
effective: 2013-09-26 (Excel file) |
DBPR PMW-3660 |
| Slot Operations Cumulative Monthly Remittance Report,
effective: 2013-09-26 (Excel file) |
DBPR PMW-3670 |
| Slot Jackpot Prize/Cash Option Report,
effective: 2010-06-21 |
DBPR PMW-3680 |
| Slot Machine and Component Application for Shipment,
effective: 2010-06-21 |
DBPR PMW-3900 |
| Slot Machine and Component Application Shipment Record,
effective: 2010-06-21 |
DBPR PMW-3910 |
| General Explanatory Description | DBPR 0060 |
General Forms |
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| Request for Address or Name Change | DBPR 0080 |
| Duplicate License Request | DBPR 0090 |
