License and Registration Verification Request

This online request portal is for Regulatory and Law Enforcement Agencies only. All other requests must be made through the Gaming Control Board's online Public Record Request Portal, located at this link.

Requesting Agency

Request Information for the following:

Entity Name
No Business Entities Added
Last Name First Name DOB Last 4 of SSN
No Applicants Added
Please Note: The system allows for only one document (containing multiple releases) to be uploaded per request. All releases (entities and individuals) for this request must be submitted as one PDF file only. The system will not accept documents in any other format.