Legalized Gaming Concessionaire, Totalizator, Vendor and Affiliate License - Initial

Applicable to: Gaming service providers Description: License required of any company providing services to a Legalized Gaming operator Statute: 29-153 Transaction Type: Initial Duration: Annual

Prerequisites: Contractual Relationship Required Documentation: *  License Application - Concessionaire, Totalizer, Vendor and Affiliates Thereto (contact agency directly for application form) *  Financial statements  * Tax returns *  Workers' Compensation Insurance *  Release Authorization *  Certain principals and employees shall be required to be licensed Other Information: Cannot apply for license until a relationship is established with a licensed gaming operator Applications, Forms & Other: None

Application Fee: $250.00 Fee Exemptions: None

Agency: Division of Special Revenue Phone: 860-594-0643 Mailing Address: Division of Special Revenue, Licensing Section, P.O. Box 310424, Newington, CT 06131-0424 Email Address: dosr@po.state.ct.us Website:     www.ct.gov/dosr/site Agency Notes: May require background investigation by Connecticut State Police

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