LICENSING
Permit Holder Information
The application and attachments are to be completed by individuals or businesses desiring to obtain a Permit to Conduct Pari-Mutuel Wagering. Upon completion, the original notarized application and all attachments should be returned to the:
DBPR – Division of Pari-Mutuel Wagering
Permit Application 2601 Blair Stone Road Tallahassee, Florida 32399
Required Forms:
DBPR PMW-3010 Permit Application
DBPR PMW-3195 Request for Release of Information
DBPR PMW-3030 Personal History Record
DBPR PMW-3120 Individual Occupational License Application (for each officer and director)
DBPR PMW-3190 Officers and Directors
SPECIAL NOTE
Please refer to Chapter 550, Florida Statutes, and Rule 61D-4, Florida Administrative Code, for additional requirements regarding permit applications.
Quick Links
Need Help?
Joe Dillmore, Director
Division of Pari-Mutuel Wagering
2601 Blair Stone Road
Tallahassee, FL 32399-1035
Telephone: 850.487.1395
Facsimile: 850.488.0550
All requests for publications, documents, forms, applications for licenses, permits and other similar information can be obtained by contacting the Customer Contact Center.
