FORMS
Poker Rooms
The forms accessible from this page are required for applications and renewals of Poker Room Licences, Dealer Permits and Key Person Permits – and for other matters related to Poker Rooms that are licensed and regulated by the Commission.
*NOTE: All forms must be submitted in person at the Kahnawake Gaming Commission office. Our office hours are: Monday to Friday 8:30 AM to 4:00 PM – CLOSED FOR LUNCH FROM 12:00 PM TO 1:00 PM
 Full Disclosure Assurance Form
Criminal Record Information - Consent Form and Privacy Waiver
Applicable Fees
Schedule A - Approved Games
Schedule B - Repealed 25, Onerahtókha/April, 2012
Schedule C - Application for Poker Room Licence
Schedule D - Business Entity Information Form
Schedule E - Personal Information Form
Schedule F - Key Person Permit Application
Schedule G - Dealer Permit Application
Schedule H - Renewal Application
Schedule I - Written Request for Special Events Licence
Schedule J - Application to be Appointed an Approved Supplier - Repealed 26 Enníska/February, 2014
Schedule K - Comprehensive Self-Exclusion Request
Schedule K (French)- Comprehensive Self-Exclusion Request
Schedule L - Request to Revoke
Schedule L (French) - Request to Revoke
Schedule M - Request to Temporarily Close
Schedule N - Material Change Report
Schedule O - Request to be Declared Dormant
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