DEPARTMENT OF JUSTICE FORM

The form below is a request for the Department of Justice to acknowledge that the applicant (company or individual) is dealing in coin operated gaming equipment and will be transporting/selling/servicing etc. this type of equipment. It is not a license such as a gaming license in either Nevada or New Jersey might be but it is an acknowledgment to engage in the said business. Both the Nevada and New Jersey gaming authorities seem to give/grant special attention to this DOJ acknowledgment when approving domestic sales of gaming equipment.

The form below is only a sample of what an application should look like. You can simply fill in the appropriate blanks and post it via snail mail (The DOJ requests that it be posted "Return Receipt Requested") to the address on the top of the form. There is no investigation fees or other fees involved at all. The acknowledgment is good for the physical year only (January 1 till December 31) and must be renewed each year. If you are in the business or thinking of getting into the business of coin-op gaming we strongly suggest that you submit this form yearly.

In order to obtain a printout of this form only click here and then return to this section using the "Back" button on your browser.


U.S. Department of Justice Washington, D.C. 20530 
Office of Enforcement Operations, Criminal Division
Attention: Mr. Frederick D. Hess (Director)
January 10, 1994

Dear Director F.D. Hess,
	My  company, ______________________, primarily dealing with 
amusement equipment, would like to expand our business to include 
the sale and export various forms of gaming equipment. In 
consultation with our Legal Advisors we  find that we  must apply 
with  your  good   offices   to   secure   permission from  the 
U.S. Department of Justice to transport and export gaming devices.
	This letter  is a  formal request for  permission for myself
_____________________d.b.a.,  ____________________,  to  engage in 
the export  of  various forms of  gaming devices as per  the 
Gambling Devices Act of 1962 ( 15 U.S.C. 1171, et seq. ). for the 
calendar year of 1994.
	1)     Registrant's name: _________________ d.b.a.    
                   Company name: ____________________
                   President: ________________________
                   Vice President:_______________________
                   Sec. / Treas: __________________________
	2)  Address of Place of Business/s:_____________________                                                            
_________________________
            3)  Address records can be viewed: Same as Above   
            4)    Activities  engaged  in: Manufacturing, 
repairing, reconditioning,  buying,  selling,  leasing,  using, 
and  making gambling  devices  available  for  use  by  others and  
selling, shipping,  receiving  or  delivering  gambling devices  
with the knowledge  that  these devices will  be shipped  in 
interstate or foreign commerce.
	We  respectfully  request  your  documentation  covering the 
record  keeping necessary to  comply with the U.S.  Department of 
Justice regulations and will act accordingly.  Thank you for your 
time and hoped for approval of our application.
Sincerely,
________________
President
________________
_________________          
-- 30 --

Top of Page.

To The:

gaming@casinocom.com