Special Employee's or Technician's Licence Application

Application for a Special Employee's or Technician's Licence
Getting Started
Special Employee
You will need a licence if you:
- work in the casino and:
  - supervise or control:
    
    table games;
    
    cash desk/coin booth; or
    
    premium player programs;
  - inspect or deal a table game;
  - account for the issuing, accepting or receiving chips;
  - undertake or supervise:
    
    the movement of table drop boxes;
    
    surveillance operations of tables; or
  - administer gaming or develop gaming policy
- work for a keno operator or a monitoring operator and:
  - supervise, control or administer:
    
    the conduct of games of keno;
    
    electronic monitoring systems;
    
    core or regulated monitoring functions; or
  - administer gaming or develop gaming policy
- work for the wagering operator (Tabcorp) and:
  - administer a gaming activity or develop gaming activity policy;
  - supervise or control the operation of wagering systems; or
  - manage fraud and integrity functions and systems.
Technician
You will need a licence if you are required to install, service, maintain or repair gaming equipment.

If you are unsure whether you require a special employee or technician licence please contact your employer.

Eligibility

Applicants must be 18 years of age or over and be of good character.

Probity

You are assessed by the Tasmanian Liquor and Gaming Commission to determine your suitability to be a licence holder. You are required to give authority and consent to the Commission to obtain information from third party providers (including, but not limited to financial and criminal history checks) relevant to your application.

Completing this application

To complete your application you will require a passport style photo and proof of identity documents

Please review the following requirements before commencing your application:
- Photograph requirements: Photo requirements | Australian Passport Office
- Proof of Identity documents required Proof of identity | Treasury and Finance Tasmania
Electronic documents or photos lodged must be in .pdf, .doc, .docx, .jpg, .jpeg, .png or .gif file formats.

Please note: Applications that are incomplete cannot be saved or retrieved. Please ensure you have all the required information before commencing your application.

Fields Marked with * are mandatory.

Licence Type
I am applying for:*

Special Employee LicenceTechnician Licence
Current Date

YearMonthDay
Date
Rate Changeover Date - 1st July + YEAR of last update

YearMonthDay
Date
Dollar amount per fee unit next financial year (on before June 30th)
Dollar amount per fee unit next financial year (on or after July 1th)
Fee Amount

Applicant Details
Personal Details
Name*

TitleGiven NameMiddle Name(s)Surname
Preferred Name (if different from above)
Date of Birth*

DayMonthYear
Date
Place of Birth*
State
Country*
Gender
(Optional)
Have you been known by any other names?

YesNo
Alias*
Contact Details
Email Address*
Please note: This email address will receive acknowledgement of this application as well as a summary of submitted records.
Contact Phone Number*

MobileBusiness PhoneHome Phone
Mobile Phone Number*
Business Phone Number*
Home Phone Number*
Address
Residential Address*

Address Line 1

Address Line 2

Suburb/TownState

Postcode

Employment
Do you intend to undertake the functions of a technician while physically located in Tasmania?*

YesNo
Please provide the name of your employer that requires you to obtain a technician’s licence?*
What prescribed duties do you undertake that require you to hold a technician’s licence?
Install, maintain, modify, alter and repair gaming equipment, including computer hardware and software*

YesNo
Undertake the testing or analysis of software and hardware for the purposes of gaming or a gaming business*

YesNo

Previous Licence Details
Have you ever held a special employee or technician licence in Tasmania or elsewhere in Australia?*

YesNo
Licence Type*
Previous gaming industry details*

Personal History
In determining your application, the Tasmanian Liquor and Gaming Commission must consider your integrity, responsibility, personal background, financial stability and general reputation, having regard to character, honesty and integrity.
Have you ever been convicted of, or pleaded guilty to, an offence in Tasmania, or any other Australian State or territory? (infringement notices are not required)*

YesNo
Nature of Offence*
Provide further details about the offence. What did you do?*
Have you ever been bankrupt or are you currently an undischarged bankrupt?*

YesNo
Please provide further details about your bankruptcy*
Bankruptcy documentation

Cancelof
Have you entered into, or are currently under a debt agreement?*

YesNo
Please provide further details of your debt agreement*
Debt agreement documentation

Cancelof
Is there any other information that may be relevant to the assessment of your suitability to hold a Special Employee's Licence?*

YesNo
Please provide any other details*
Other documentation

Cancelof

Proof of Identity
To establish the identity of a person, evidence of identity is required. The list of accepted identity documents is available at Proof of identity | Treasury and Finance Tasmania

Photograph requirements for applicants can be found here Photograph requirements | Department of Treasury and Finance Tasmania

Electronic documents or photos lodged must be in .pdf, .doc, .docx, .zip, .mpg, .jpg, .jpeg, .png or .gif file formats.
Photo*

Cancelof
Primary Document*

Cancelof
Additional primary document

Cancelof
Secondary document

Cancelof
Additional secondary Document

Cancelof

Consent and Declaration
The Department of Treasury and Finance collects and stores your personal information on behalf of the Tasmanian Liquor and Gaming Commission (“the Commission”) and the Commissioner for Licensing (“the Commissioner”). You have the right to access information collected about you under the Personal Information Protection Act 2004. This information will be considered as part of your ongoing suitability as an Special Employee Licence holder under the Gaming Control Act 1993 and/or your fit and proper status as an associate of a licensee or permit holder under the Liquor Licensing Act 1990. Failure to provide information may result in the person/entity that you are associated with not having their/its application considered. The Department’s Personal Information Protection Policy provides further guidance.

I authorise and consent to:

·      the Department on behalf of the Commission and/or the Commissioner, obtaining information about me from any person, entity, body or government agency;

·      a copy of this consent and my personal information being provided to Tasmania Police or any Australian law enforcement agency for the purpose of conducting a Nationally Coordinated Criminal History Check. I also consent to the release of any criminal history records recorded against my name in any Australian jurisdiction to the Department on behalf of the Commissioner and/or the Commission for any regulatory function or purpose under the Liquor Licensing Act 1990 or the Gaming Control Act 1993;

·         the Department on behalf of the Commission and/or Commissioner to obtaining consumer credit information from illion (DBCC Pty. Ltd). In this context, “us” or “we” means the Department (Access Seeker) and “you” or “your” means the associate:

a)   By nominating us as an Access Seeker, we will be using your access rights to consumer credit information which means that you may be charged in the future for information that would have been available for free from credit reporting bodies.

b)   We collect information from illion, a credit reporting body. Further information on how illion collects, holds, uses and discloses your credit information is available from www.checkyourcredit.com.au.

c)   To make a change to credit information, you need to say how it is wrong and provide documentation to support your view. You agree to provide the credit reporting body (through us) certified copies of documents or statutory declarations where no other documentation is available (“Supporting Documentation”). Where we represent you in any required correction of information, you agree that we will provide the Supporting Documentation to the credit reporting body, and we will be responsible for providing the credit reporting body’s response to your correction request to you both truthfully and accurately.

By completing this form:

·         I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via third party systems for the purpose of confirming my identity.

·         I acknowledge the above and declare that the information I have provided is correct and relates to me, the person completing this form.

·         I acknowledge that the information provided by me may be used for any purpose under either the Gaming Control Act 1993 or Liquor Licensing Act 1990 as the Commission and/or Commissioner consider appropriate.

·         I understand that providing false or misleading information is an offence under the Criminal Code Act 1924 and the Gaming Control Act 1993.
Name of Signatory*

First NameLast Name
By submitting this application and providing my email address, I consent to information being given by means of electronic communication as defined by the Electronic Transactions Act 2000 (Tasmania).

I, {nameOf} the applicant, agree to the above declaration.
Signature*

Clear
Submission Date

DayMonthYear
Date

Payment and Submission
Payment Total Calculation

Total Licence Fee*

AUDSpecial Employee/Technician Application Fee Payment

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Please review your application carefully, once your application has been submitted amendments to this form cannot be made.

By pressing the ‘Payment and Submit’ button, payment will be taken and your application will be lodged with the Liquor and Gaming Branch. An email confirming submission of your application will be sent to your nominated email address.

If your payment declines you will be redirected back to this screen.
Should be Empty:

Application for a Special Employee's or Technician's Licence

Getting Started

Licence Type

Applicant Details

Employment

Previous Licence Details

Personal History

Proof of Identity

Consent and Declaration

Payment and Submission