General Forms

The following forms are used for more than one game type:

• Application for Gaming Funds (SFN 9801)
  • Used by potential recipients of net proceeds, to request trust fund disbursements from a gaming organization.
• Cash Reserve Bank – Daily Report (SFN 50151)
  • used by an organization that maintains a central or cash reserve bank for replenishing or lending cash to game banks.
• Cumulative Ideal Cash Bank Record (SFN 52533)
  • This form is used to maintain a record of all organization cash banks at all sites.  It is used in conjunction with the Ideal Cash Bank Mater Record.  It provides a cumulative total of the ideal value of all cash banks of the organization.
• Deposit Summary (SFN 50277) 
  • Use to record the information required by NDAC § 99-01.3-03-10(3) when a single deposit is for more than one game or game type or more than one day’s activity.
• Employee Signature and Initials Register (SFN 50900)
  • An organization is required to maintain a register of all individuals who initial or sign a record or report, including independent contractors who provide auditing, accounting, and bookkeeping services.
• I.O.U. (SFN 9880)
  • Records lending funds to one game from another, or from a cash reserve bank.  This form accounts for all loans and payback of funds for all games at a site for one quarter.
• Ideal Cash Bank Master Record (SFN 52534)
  • This form is used to maintain a master record of the ideal cash bank amounts at a site for each game type.  It is used to account for any permanent increases or decreases to the cash bank.
• Master Game Inventory Log (SFN 9935)
  • Use to accounts for all games requiring a North Dakota gaming stamp purchased by an organization.
• Master Inventory Log – Ticket Rolls (SFN 9861)
  • This form is used to account for ticket rolls purchased by the organization for double admission raffle activity and/ or when the ticket receipting method is used to account for bingo activity
• Order Form (SFN 19963)
  • Used to order recordkeeping booklets and other items from the Gaming division.
• Prize Register (SFN 9932)
  • This form is used to record all prizes awarded.
• Reconciliation of Ideal Cash Banks (SFN 52532)
  • This form is used to reconcile the gaming cash banks at a site on an annual basis.
• Reconciliation of Inventories (SFN 17937)
  • This form is used by a person who has not had access to the inventory, for the annual reconciling of games requiring a North Dakota gaming stamp, bingo cards, casino chips, and rolls of tickets to a physical count of these items back to the information on the inventory logs.
• Record of Win (SFN 9939)
  • Used whenever a single cash prize or retail value of a merchandise prize of greater than $500 is paid to a player.
• Site Game Inventory Log (SFN 9934) 
  • Use to account for all games requiring a North Dakota gaming stamp at a site.
• Site Inventory Log – Ticket Rolls (SFN 9859)
  • This form is used to account for ticket rolls at a site to account for raffle activity and/or when the ticket receipting method is used to account for bingo activity.

Surveillance (Paddlewheel, Twenty-One)

• Approved Vendors of Video Surveillance Equipment
• Evaluation of Video Surveillance Recording (SFN 19857) 
  • This form is used to evaluate a sample video recording submitted by an organization or by a vendor on behalf of an organization for approval of satisfactory video surveillance for a twenty-one table, paddlewheel, and paddlewheel table.  If an organization purchased its own equipment or procured equipment from an organization previously conducting at the site, the vendor may be identified as “Internal”.  A new site is defined as a site newly acquired by an organization, or a current site that has reached the level of twenty-one activity requiring video surveillance.
    • Gaming organizations must install video surveillance at sites with twenty-one gross proceeds averaging more than $10,000 or more per quarter for two entire consecutive quarters and wagers exceeding $2.