California Code of Regulations
Title 4 - Business Regulations
Division 18 - California Gambling Control Commission
Chapter 2 - Licenses and Work Permits
Article 2 - Initial and Renewal Licenses and Work Permits
Section 12112 - Initial License Applications; Required Forms

Universal Citation: 4 CA Code of Regs 12112

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

A person applying for Commission approval must submit the following to the Bureau:

(a) A completed Application for Employee Category License, CGCC-CH2-04 (Rev. 11/21) or Application for Owner Category License, CGCC-CH2-05 (Rev. 04/23), which are attached in Appendix A to this chapter, any applicable fees required in Section 12090, and the applicable background investigation deposit required by Title 11, CCR, Section 2037.

(b) Any applicable completed supplemental information forms, all of which are attached in Appendix A to this chapter:

(1) Business Entity: Supplemental Information, CGCC-CH2-06 (Rev. 12/21).

(2) Individual Owner/Principal: Supplemental Information, CGCC-CH2-07 (Rev. 07/22).

(3) Key Employee or TPPPS Supervisor: Supplemental Information, CGCC-CH2-08 (Rev. 07/22).

(4) Trust: Supplemental Information, CGCC-CH2-09 (Rev. 12/21).

(5) Commission Work Permit or TPPPS Worker: Supplemental Information, CGCC-CH2-10 (Rev. 07/22).

(6) Supplemental Information: Schedules, CGCC-CH2-11 (New 05/20).

(7) Request for Copy of Personal Income or Fiduciary Tax Return, FTB-3516 (Rev. 08-2015) C1 PAGE 1.

(8) Request for Copy of Corporation, Exempt Organization, Partnership, or Limited Liability Company Tax Return, FTB-3516 (Rev. 08-2015) C1 PAGE 2.

(c) An Authorization to Release Information, CGCC-CH2-13 (New 05/20), which is attached in Appendix A to this chapter.

(d) One of the following:

(1) If a resident of the State of California, a completed Request for Live Scan Service [California Department of Justice Form, BCIA 8016 (Rev. 04/2020)], including the ATI Number. The applicant is responsible for any fees necessary for the completion of this form; or,

(2) If not a resident of the State of California, two copies of the Applicant Fingerprint Card, FD-258.

(e) An Appointment of Designated Agent, CGCC-CH1-04.

(f) If the application is an Application for Owner Category License, CGCC-CH2-05, and the applicant is a natural person, then a completed copy of the Spousal Information, CGCC-CH2-12 (Rev. 07/22), which is attached in Appendix A to this chapter.

1. Relocation and amendment of article 2 heading from preceding section 12104 to precede section 12112 and renumbering of former section 12342 to new section 12112, including amendment of section heading, section and NOTE, filed 12-12-2020; operative 1-1-2021 pursuant to Government Code section 11343.4(b) (Register 2020, No. 51). Filing deadline specified in Government Code section 11349.3(a) extended 60 calendar days pursuant to Executive Order N-40-20.
2. Amendment of subsections (a) and (b)(1)-(2) refiled 12-31-2020 as an emergency; operative 1-1-2021 pursuant to Government Code section 11346.1(d). Emergency expiration extended 60 days (Executive Order N-40-20) plus an additional 60 days (Executive Order N-71-20) (Register 2021, No. 1). A Certificate of Compliance must be transmitted to OAL by 8-2-2021 or emergency language will be repealed by operation of law on the following day.
3. Amendment of subsections (a) and (b)(1)-(2) refiled 6-14-2021 as an emergency; operative 6-14-2021. Expiration date of emergency extended 60 days (Executive Order N-40-20) plus an additional 60 days (Executive Order N-71-20) (Register 2021, No. 25). A Certificate of Compliance must be transmitted to OAL by 1-11-2022 or emergency language will be repealed by operation of law on the following day.
4. Amendment of subsection (a) filed 10-7-2021 as an emergency; operative 10-7-2021 (Register 2021, No. 41). A Certificate of Compliance must be transmitted to OAL by 4-5-2022 or emergency language will be repealed by operation of law on the following day.
5. Amendment of subsections (a), (b)(1)-(5), (b)(7)-(9) and (d)(1) filed 10-18-2021; operative 1-1-2022 (Register 2021, No. 43). Filing deadline specified in Government Code section 11349.3(a) extended 60 calendar days pursuant to Executive Order N-40-20.
6. Reinstatement of section as it existed prior to 12-12-2020 emergency amendment by operation of Government Code section 11346.1(f) (Register 2022, No. 2).
7. Change without regulatory effect amending subsections (b)-(b)(2) and (b)(4) filed 1-12-2022 pursuant to section 100, title 1, California Code of Regulations (Register 2022, No. 2).
8. Amendment of subsection (a) refiled 4-4-2022 as an emergency; operative 4-4-2022 (Register 2022, No. 14). A Certificate of Compliance must be transmitted to OAL by 7-5-2022 or emergency language will be repealed by operation of law on the following day.
9. Amendment of subsection (a) refiled 7-5-2022 as an emergency; operative 7-5-2022 (Register 2022, No. 27). A Certificate of Compliance must be transmitted to OAL by 10-3-2022 or emergency language will be repealed by operation of law on the following day.
10. Certificate of Compliance as to 7-5-2022 order, including further amendment of subsection (a) and amendment of subsection (d)(1), transmitted to OAL 7-21-2022 and filed 9-1-2022; amendments effective 9-1-2022 pursuant to Government Code section 11343.4(b)(3) (Register 2022, No. 35).
11. Amendment of subsection (a) filed 9-30-2022 as an emergency; operative 9-30-2022 (Register 2022, No. 39). A Certificate of Compliance must be transmitted to OAL by 12-29-2022 or emergency language will be repealed by operation of law on the following day.
12. Amendment of subsection (a) refiled 12-23-2022 as an emergency; operative 12-30-2022 (Register 2022, No. 51). A Certificate of Compliance must be transmitted to OAL by 3-30-2023 or emergency language will be repealed by operation of law on the following day.
13. Certificate of Compliance as to 12-23-2022 order, including nonsubstantive amendment of subsection (a), transmitted to OAL 3-6-2023 and filed 4-14-2023; amendments effective 4-14-2023 pursuant to Government Code section 11343.4(b)(3) (Register 2023, No. 15).
14. Amendment of subsections (a), (b)(2)-(3) and (b)(5), repealer of subsection (b)(7), subsection renumbering, amendment of subsection (e) and new subsection (f) filed 6-22-2023; operative 10-1-2023 (Register 2023, No. 25).

Note: Authority cited: Sections 19811, 19824, 19840, 19841, 19850, 19912 and 19984, Business and Professions Code. Reference: Sections 19801, 19811, 19824, 19826, 19841, 19850, 19851, 19852, 19855, 19864, 19865, 19866, 19867, 19868, 19878, 19880(d), 19883, 19890(e), 19893, 19912, 19951, 19982 and 19984, Business and Professions Code.

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