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.

NEED HELP

Robert Ehrhardt, 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.