RULE NO: RULE TITLE
61D-15.001: Incorporated and Approved Forms

Notice 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 the slot operators and licensees who conduct slot gaming. A copy of these forms may be obtained at www.myfloridalicense.com/dbpr/pmw www.myflorida.com/dbpr/pmw or 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 SUBJECT                                                                                 EFFECTIVE 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-3430              Business Entity Internal Control Information                                                  _____

(8) DBPR PMW-3435              Affidavit of Truth                                                                                            _____

(9) DBPR PMW-3440              Professional 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 Report                                                             7-5-06

(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. History–New 7-5-06, Amended _________.