- NOTICE OF CHANGENotice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 36 No. 13, April 2, 2010 issue of the Florida Administrative Weekly.
61D-15.001 Incorporated and Approved Forms.
The following is a list of all forms that have been adopted by reference that are used with
now incorporated which are to be used by the Division in its dealing with theslot operators and licensees who conduct slot gaming. A copy of these forms may be obtained at www.myfloridalicense.com/dbpr/pmwwww.myflorida.com/dbpr/pmwor by contacting the Division of Pari-Mutuel Wagering at 1940 North Monroe Street, Tallahassee, Florida 32399-1035.The effective date of each of these forms is the promulgation date of this rule.FORM NUMBER FORM TITLE
SUBJECTEFFECTIVE DATE(1) DBPR PMW-3400 Permitholder Application for Annual Slot Machine License
_____(2) DBPR PMW-3405 Permitholder Renewal Application for Annual Slot Machine License Renewal
_____(3) DBPR PMW-3410 Slot Machine Individual Occupational License Application
_____(4) DBPR PMW-3415 Slot Machine Individual Occupational License Renewal Application
_____(5) DBPR PMW-3420 Slot Machine Business Entity Occupational License Application
_____(6) DBPR PMW-3425 Slot Machine Business Entity Occupational License Renewal Application
_____(7) DBPR PMW-3430Business Entity Internal Control Information_____(8) DBPR PMW-3435Affidavit of Truth_____(9) DBPR PMW-3440Professional or Business Employee Supplemental Information_____(7)
(10)DBPR PMW-3450 Slot Machine Occupational License Upgrade Application_____(8)
(11)DBPR PMW-3460 Authorization for Release of Information_____(9)
(12)DBPR PMW-3470 Surety Bond for Florida Slot Machine Licensee_____(10)
(13)DBPR PMW-3660 Slot Operations Monthly Remittance Report_____(11)
(14)DBPR PMW-3670 Slot Operations Cumulative Monthly Remittance Report_____(12)
(15)DBPR PMW-3680 Slot Jackpot Prize/Cash Option Report7-5-06(13)
(16)DBPR PMW-3900 Slot Machine and Component Application for Shipment_____(14)
(17)DBPR PMW-3910 Slot Machine and Component Application Shipment Record_____Rulemaking Authority 551.103, 551.1045, 551.114, 551.122 FS. Law Implemented 551.103, 551.104, 551.1045, 551.106, 551.107, 551.114, 551.118, 559.79(2) FS. HistoryNew 7-5-06, Amended _________.