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Sports Betting and/or Internet Gaming Supplier

The MGCB issues licenses to platform providers offering services and equipment to facilitate processing of wagers on behalf of a commercial casino or tribe. The agency also will license other types of suppliers to the tribes who support online sports betting and casino-style gambling.

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Opening PDF Forms:

If a .pdf file does not open successfully within a browser window, please download and save the file by right clicking on the link and selecting "Save Link As" or email mgcbweb@michigan.gov for assistance. 

Forms

Supplier Inquiry Form

Supplier License Initial/Five-Year Renewal

Business Disclosure Form Initial/Five-Year Renewal

Personal Disclosure Form Initial/Five-Year Renewal

Supplemental Personal Disclosure Form Initial/Five-Year Renewal

Limited Personal Disclosure Form Initial/Five-Year Renewal

Multi-Jurisdictional Personal Disclosure Form

Affiliate Marketer Certification

 

Other Supplier Forms and Information

Fingerprinting Instructions

Live Scan Fingerprint Background Check Request

Institutional Investor

Transfer of Interest

4506-C IVES Request for Transcript of Tax Return