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Please follow the instructions listed in the Application Package Instructions section. If you have any questions please feel free to contact the Licensing Department at (216) 774-5691.

• Complete Agent Application kit

The Agent Application kit consists of the individual forms listed below. If you would like to download an individual section, click on the links below.

• Agent Application Instructions Form Updated 4/08
• Agent Application Form Updated 4/08
• W-9 with instructions
• EFT Form Updated 5/06(Electronic Funds Transfer)
• Indemnification Agreement Updated 4/08
• Authorization to Release Criminal RecordUpdated 5/06
• Intralot Independent Authorization Conversion New 4/09
• Intralot Chain Authorization Conversion New 4/09