Application for Approval of a Linked Jackpot Arrangement
About this form
This form is to be used by a Gaming Machine Licensee applying for approval to operate a linked jackpot arrangement between gaming machines operated under an authorisation certificate held by the licensee. This application will not be considered unless it is made by a licensee and is complete with all supporting documentation provided.
Required supporting documentation:
A Sales Order or similar from an approved supplier. This document must be signed by an authorised person of the applicant and of the approved supplier.
Payments up to $10,000 can be made with either Visa or MasterCard.
Your personal information
Access Canberra uses this form to collect information which is necessary to allow the ACT Government to provide services to you. Personal Information may be used or disclosed in accordance with the Information Privacy Act 2014.