The following online application form can be saved and returned to at a later time if required. You will be prompted to provide an email and password to re-access the incomplete application.

You must ensure this form is complete before you submit it, as an incomplete form (including attachments) will not be accepted by the Tasmanian Liquor and Gaming Commission.

Most of this application can be completed by an associate to the applicant. However, the entity applying for the licence (the applicant) will be required to agree to the terms and conditions of this application (by agreeing to the stated declaration towards the end of this application) and submit.

In this application, when we use the word ‘you’ we are referring to the entity applying to hold a venue licence.

If you have completed this application on behalf of the applicant, it is strongly recommended you communicate with the applicant as to the process in submitting this application. You are permitted to save and close this application, and provide the relevant log in details to the applicant to review the application information in full. The applicant will therefore be held liable to all information contained in this application once it is submitted.

Please note it is an offence to provide false and misleading information at any stage during this process.

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

Any fields marked as mandatory, which have not been populated, will need to be completed to allow submission of this application.

Attachments

{entityType} Applicant Details

Attachments

Cameras

Technical Standards for Recorded Surveillance in Gaming Premises are available at Rules and Standards | Treasury and Finance Tasmania

The Tasmanian Gambling Exclusion Scheme (TGES) helps ensure gaming runs in a responsible way. The scheme provides a means for people to be excluded from gaming activities.

The Exclusion Database is an online record of all excluded people in the state.  The Database assists licence holders to meet their duties under the scheme.

Database access will be granted after your application is processed. Further information about the database can be found at Exclusions | Treasury and Finance Tasmania

This section must be confirmed by the Director, Partner or Individual that is legally authorised to complete on behalf of the applicant.

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

The licence holder is responsible for having in place protections for employees seeking to inform regulatory bodies of any instance of non-compliance with the Gaming Control Act 1993, and/or general misconduct of the licence holder.

As the applicant, I understand the requirement to comply with all relevant legislation.

What appropriate systems do you have in place for employees to ensure they are not subject to discrimination, harassment, or other adverse action by you, if the employee provides information relating to non-compliance or your conduct?

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

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

Associates are persons who have a relevant financial interest, position and significant influence in the business and/or are a spouse or relative. The applicant MUST attach a completed Associate Details Form for each associate to this application.

The Department of Treasury and Finance collects and stores your personal information on behalf of the Tasmanian Liquor and Gaming Commission (“the Commission”). 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 applicant/licensee under the Gaming Control Act 1993. Failure to provide all required information may result in the application not being considered. The Department’s Personal Information Protection Policy provides further guidance.

I authorise and consent to:

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

·         the Department on behalf of the Commission, disclosing information to any contact person nominated by me at any time;

·         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 Commission for any regulatory function or purpose under the Gaming Control Act 1993.

·         the Commission and any member of the Department 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 applicant:

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.

·         I understand that the provision of false or misleading information is a serious offence under the Criminal Code Act 1924 and the Gaming Control Act 1993.

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.

You will need to pay this application fee when you submit your form.

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.