Gaming Forms

The Office of Attorney General Gaming Division is in the process of reviewing and establishing best practices to update these forms in alignment with Section 508 of the Rehabilitation Act of 1973.

 

We appreciate your patience as we continue this accessibility and website content overhaul.

 

If you are having trouble finding the correct forms or need assistance, please contact our office by email at agogaming@nd.gov or by phone at 701-328-4848.

Bingo

Bingo is  a game of chance in which players mark off randomly drawn numbers or letters on a card, with the winner being the first to cover a predetermined pattern of squares for that game and timely call out “Bingo.”

 

  • Bingo may be conducted by licensed charitable gaming organizations and local permit and charity local permit holders.
  • The minimum age to play bingo is 18, unless the minor is accompanied by an adult, or the bingo is conducted under a local permit, or the prize structure does not exceed that allowed for a local permit.

 

 

 

Recordkeeping Forms

 

The standard recordkeeping forms are provided for convenience.  An organization may design its own forms provided those forms comply with the requirements of Article 99-01.3 of the North Dakota Administrative Code.

 

 

Other general forms for the conduct of Bingo are: Record of Win, I.O.U., Ideal Cash Bank Master Record, Cumulative Ideal Cash Bank Record, Reconciliation of Ideal Cash Banks, Reconciliation of Inventories, Master Inventory Log-Ticket Rolls, Site Inventory Log-Ticket Rolls, Prize Register, and Cash Reserve Bank-Daily Report.  These additional forms can be found under General Forms.

Electronic Pull Tabs

Licensed gaming organizations planning to conduct gaming with electronic pull tab devices are required first to complete training provided by the Gaming division.

 

 

Other general forms for Electronic Pull Tab devices are: IOU, Ideal Cash Bank Master Record, Cumulative Ideal Cash Banks, and Reconciliation of Ideal Cash Banks. These additional forms can be found under General Forms.

 

 

Electronic Pull Tab Kiosk Forms

 

Electronic Quick Shot Bingo

Electronic Quick Shot Bingo is a bingo game played on portable hand-held bingo devices utilizing electronic bingo card images.

 

  • You  must be at least 18 to play Electronic Quick Shot bingo.

 

Use of the standard recordkeeping forms provided by the Office of Attorney General is required.

 

 

Other general forms for the conduct of Electronic Quick Shot Bingo are: Record of Win, I.O.U., Ideal Cash Bank Master Record, Cumulative Ideal Cash Bank Record, Reconciliation of Ideal Cash Banks and Cash Reserve Bank-Daily Report. These additional forms can be found under General Forms.

Paddlewheel

A paddlewheel is a wheel marked with numbered sections. When spun, a pointer indicates the winning number.

 

  • An individual must be at least age 21 to play Paddlewheel.

 

 

 

Paddlewheel with a Table

 

Paddlewheel with a table is a game in which a prize is a predetermined variable multiple of the amount bet.  No merchandise prize may be awarded.

 

Use of this office’s standard recordkeeping forms is required for paddlewheels with a table.  Written approval must be obtained from this office before using another recordkeeping system.

 

 

Other general forms for the conduct of Paddlewheel with a Table are: I.O.U., Ideal Cash Bank Master Record, Cumulative Ideal Cash Bank Record, Evaluation of Video Surveillance, Reconciliation of Ideal Cash Banks, Reconciliation of Inventories, and Cash Reserve Bank-Daily Report.  These additional forms can be found under General Forms.

 

 

 

Paddlewheel Without a Table

 

This office’s standard recordkeeping forms are not required for Paddlewheel without the use of a table.  If an organization is designing its own forms, refer to the paddlewheel chapter in the administrative rules for guidance.

 

 

Other general forms for the conduct of Paddlewheel without the use of a Table are: Master Game Inventory Log, Site Game Inventory Log, and Reconciliation of Inventories. These additional forms can be found under General Forms.

Poker

Poker is a game conducted at a table with a deck of cards.  Chips are bought and used for betting.  A player bets on the cards he holds, and all the bets each deal are collected in the center of the table. There is a betting round after the players receive their starting cards and a betting round after each round of new cards. The pot is won either by a player who makes a bet nobody is willing to match, or by the player who has the hand of greatest value after all the betting is over.

 

A licensed charitable organization may conduct poker on two occasions per year. Poker activity must be conducted at an authorized site of the licensed organization. An organization may supply the dealer.

 

  • The maximum single bet is $1. No more than three raises, of a maximum of $1 each, may be made by all the players in each round of bets.
  • An individual must be at least age 21 to play poker.

 

For nontournament activity, an organization shall charge each player a fee not to exceed two dollars per one-half hour of playing time, collected in advance.  For a tournament, an organization shall charge each player an entry fee and the amount of prizes may not exceed ninety percent of the gross proceeds.

 

This office’s standard recordkeeping forms are not required for poker.  If an organization designs its own forms, refer to the poker chapter in the administrative rules and the forms below for guidance.

 

 

Other general forms for the conduct of poker are: Record of Win, Ideal Cash Bank Master Record, Reconciliation of Ideal Cash Banks, and Prize Register.  These additional forms can be found under General Forms.​

Pull Tabs

A Pull Tab is a folded or banded ticket, a card with break-open tabs, or a ticket with latex covering.  A winning pull tab contains certain symbols or numbers and may contain multiple winning symbols or numbers.  A pull tab game must be played with two or more deals commingled at any time.

 

  • The maximum cash prize for a winning symbol or number on a pull tab or last sale prize is $500.
  • An individual must be at least 21 to play pull tabs.

 

 

 

Recordkeeping forms – all Pull Tab activity

 

 

Other general forms for the conduct of Pull Tab activity are: Record of Win, I.O.U., Ideal Cash Bank Master Record, Cumulative Ideal Cash Bank Record, Reconciliation of Ideal Cash Banks, Reconciliation of Inventories, Master Game Inventory Log, Site Inventory Log, and Cash Reserve Bank-Daily Report.  These additional forms can be found under General Forms.

 

 

 

Pull Tab (By Deal)

 

The method of accounting for redeemed winning pull tabs each time a deal is added to a pull tab game conducted through a jar bar.  All major and minor winners are retained together in the bag or box for the deal that was recorded as being closed.  The cash bank for the game is recorded on a daily accounting record for each day of activity.

 

 

Other general forms for the conduct of Pull Tab using the “By Deal” method are: Record of Win, I.O.U., Ideal Cash Bank Master Record, Cumulative Ideal Cash Bank Record, Reconciliation of Ideal Cash Banks, Reconciliation of Inventories, Master Game Inventory Log, Site Inventory Log, and Cash Reserve Bank-Daily Report.  These additional forms can be found under General Forms.

 

 

 

 

Pull Tab Dispensing Devices

 

Organizations may purchase pull tab dispensing devices from a licensed distributor.  A licensed organization may operate a pull tab dispensing device when the organization’s employee is on duty and may have a bar employee redeem a winning pull tab even if the organization’s employee is not on duty.

 

  • Bar employees cannot play pull tab dispensing devices while on duty.

 

Use of this office’s standard recordkeeping forms is required for pull tab dispensing device activity.  Obtain written approval from this office before using another system.

 

 

Other general forms for the conduct of Pull Tab Dispensing Device are: Record of Win, I.O.U., Ideal Cash Bank Master Record, Cumulative Ideal Cash Bank Record, Reconciliation of Ideal Cash Banks, Reconciliation of Inventories, Master Game Inventory Log, Site Inventory Log, and Cash Reserve Bank-Daily Report.  These additional forms can be found under General Forms.

Raffles

A Raffle is a game in which a prize is won by a player who bought a raffle ticket or square on a raffle board.  A winning player is determined by drawing a ticket stub or number of a square on a raffle board from a receptacle or by an alternate fair method approved by the attorney general.  A calendar raffle is a raffle in which a player’s ticket stub is entered in two or more drawings held on predetermined days over an extended period of time for predetermined prizes.

 

  • There is no minimum age for raffles unless the organization sets a minimum age based on the type of prize to be awarded.

 

This office’s standard recordkeeping forms are not required for raffles.  If an organization designs its own forms, refer to the raffle chapter in the administrative rules and the forms below for guidance.

 

 

 

General Raffle Forms

 

 

 

 

Raffle Board

 

For a raffle board, the numbered squares on the board must be sold for the same price at a site on the day of the drawing.  An organization shall complete on the board the cost per square, prizes, and date of the raffle and ensure a raffle board includes a state gaming stamp affixed by a distributor.  For each square sold, an employee shall legibly write the player’s full name in the square purchased by the player.  Duplicate numbers corresponding to the numbered squares on a board must be placed into a receptacle for drawing.  The conduct of a raffle is the drawing or alternate fair method of selection approved by the attorney general.

 

 

 

 

Fifty-Fifty Raffle Systems

 

A fifty-fifty raffle system is the computer hardware, software, and related equipment used to sell fifty-fifty raffle tickets and account for sales.

 

 

Other general forms for the conduct of Raffle and Fifty-Fifty Raffle Systems activity are: Record of Win, I.O.U., Ideal Cash Bank Master Record, Cumulative Ideal Cash Bank Record, Reconciliation of Ideal Cash Banks, Reconciliation of Inventories, Master Game Inventory Log, Master Inventory Log-Ticket Rolls, Site Inventory Log, Site Inventory Log-Ticket Rolls, Prize Register, and Cash Reserve Bank-Daily Report.  These additional forms can be found under General Forms.

 

 

 

Raffle Tickets

 

All raffle tickets, with the exception of double admission tickets, must contain:

 

  1. Name of organization
  2. Ticket number
  3. Price of the ticket;
  4. Prizes;
  5. Licensing authority (Attorney General’s office or local city or county) and license number
  6. Statement that the person is or is not required to be present to win;
  7. Date and time of the drawing
  8. Location and street address of the drawing; and
  9. A statement that the ticket is not a charitable donation.

 

If applicable, the ticket must also disclose whether sales are restricted to persons of a minimum age, whether prizes require a title transfer, and whether the winning player is or is not liable for sales or use tax on the prize.

 

 

 

Private Fundraising Raffles

 

For private raffles to raise funds for a specific benevolent purpose (such as helping to pay medical bills for a neighbor’s sick child), contact the local city or county where the raffle drawing will take place to apply for a local permit.

Sports Pools

A Sports Pool is comprised of wagers paid by players for a line or square that will determine which player wins.

 

  • The maximum cost per line or square is $25. Only cash prizes can be awarded.
  • An individual must be at least age 21 to play sports pools.

 

Sports pool activity is conducted when chances on the board are sold and the prize is awarded. If the state gaming stamp is affixed, sports pool activity must be conducted at a licensed site.

 

This office’s standard recordkeeping forms are not required for sports pool activity.  If an organization designs its own forms, refer to the sports pool chapter in the administrative rules and the form below for guidance.

 

 

Other general forms  are: Master Game Inventory Log, Site Game Inventory Log, Record of Win, and Reconciliation of Inventories.  These additional forms can be found under General Forms.

 

 

 

Office Sports Pools

 

  • By law, in North Dakota, gambling may only be conducted by licensed charitable gaming organizations. If you have questions about a proposal for an office sports pool or similar activity, you may wish to contact your local city attorney or county states attorney.

Twenty-One

Twenty-One is a card game in which a player tries to obtain a higher total card count than a dealer without exceeding 21.  An ace counts either one or eleven. A king, queen, and jack have a count of ten.  Cards two through ten are counted at their face value. A maximum of seven players may play at a table.  A player may play up to two betting spaces if an adjacent betting space is available.  An outsider may not wager on a player’s hand and a player may not wager on another player’s hand.

 

  • An individual must be at least age 21 to play Twenty-One.

 

 

 

Wagers

 

The organization may set the minimum limit for the original wager at not more than $3 on one active table.  If there is more than one active table at a site, the organization may set a higher minimum wager on additional tables.  The maximum limit per wager may be set by the organization at not more than $25.  Wagers in increments of $1 must be accepted between the posted minimum and the posted maximum limit. A player may not play more than two hands at the same time.

 

Use of this office’s standard recordkeeping forms is required to account for Twenty-One if video surveillance is required. Obtain written approval from this office before using another system.  If video surveillance is not required, an organization may design its own forms.

 

 

 

Instructions and Recordkeeping Forms

 

 

Other general forms for the conduct of Twenty-One activity are: I.O.U., Ideal Cash Bank Master Record, Cumulative Ideal Cash Bank Record, Evaluation of Video Surveillance Recording, Reconciliation of Ideal Cash Banks, Reconciliation of Inventories, and Cash Reserve Bank-Daily Report.  These additional forms can be found under General Forms.

 

 

 

Combined Twenty-One & Paddlewheel

 

When an organization conducts Twenty-One and paddlewheel with a table at a site, the organization may choose to combine the cash banks and casino chip banks when completing the daily accounting records.  The activity continues to be summarized and reported on the gaming tax return separately for the two game types.

 

Use of this office’s standard recordkeeping forms is required to account for Twenty-One and paddlewheel combined activity.  Obtain written approval from this office before using another system.

 

 

Other forms for the combined concept activity can be found above under Twenty-One forms and the Paddlewheel with a Table forms: Twenty-One Dealer Shift Report, Twenty-One Dealer Percent-of-hold, Twenty-One Review Record, Paddlewheel Operator Shift Report, Paddlewheel Percent-of-Hold, Paddlewheel Review Record and Digital Surveillance Review Log.

 

Other general forms for the combined concept activity are: I.O.U., Ideal Cash Bank Master Record, Cumulative Ideal Cash Bank Record, Reconciliation of Ideal Cash Banks, Reconciliation of Inventories, Evaluation of Video Surveillance Recording and Cash Reserve Bank-Daily Report.  These additional forms can be found under General Forms.

Other Game Types

This office’s standard recordkeeping forms are not required for single games.  If an organization designs its own forms, refer to the Pull Tab chapter in the administrative rules and the forms listed below for guidance.

 

  • A person must be at least age 21 to participate in the following gaming activities.

 

 

 

Club Special, Seal Board, Tip Board and Punchboard

 

The maximum price per chance is $2.  A prize board, club special, punchboard, sealboard, and tip board are conducted as a single game which may have a cash or merchandise prize and one or more seal prizes.  The value of a seal prize or last sale prize may exceed the value of the top tier prize.

 

 

Other general forms for the conduct of single games are: Master Game Inventory Log, Site Game Inventory Log, Record of Win, and Reconciliation of Inventories.  These additional forms can be found under General Forms.

 

 

 

Calcutta

 

A Calcutta is a sporting event in which players wager at an action on the competitors.  The conduct of a Calcutta is the auction process.  An auction pool is comprised of the wagers paid by players who offered the highest bids on the competitors.  The winning competitor may be one competitor, a team of competitors, or ranked competitors.  The payout of the cash prize to a winning player is based on a predetermined percentage of the auction pool, which may not exceed ninety percent.  Only cash prizes may be awarded.

 

Other general forms for the conduct of Calcutta activity are: Master Game Inventory Log, Site Game Inventory Log, Record of Win, and Reconciliation of Inventories.  These additional forms can be found under General Forms.

 

 

 

Prize Board

 

A prize board is a board used with pull tabs to award cash or merchandise prizes.  Coins of various values may be affixed to the board and, under each coin, a cash prize value preprinted on the board.  A board must contain numbered lines and a seal covering a winning number.

 

 

 

 

Prize Board Dispensing Devices

 

A prize board dispensing device means a board used with pull tabs dispensed from a device to award cash or merchandise prizes.  The maximum price per chance is $2. The value of a seal prize or a column sold out indicator may exceed the value of the top tier prize.

 

 

Other general forms for the conduct of Prize Boards are: Master Game Inventory Log, Site Game Inventory Log, I.O.U., Record of Win, Ideal Cash Bank Master Record, Cumulative Ideal Cash Bank Record, Reconciliation of Ideal Cash Banks, and Reconciliation of Inventories. These additional forms can be found under General Forms.

General Forms

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

 

Record Check Forms

Who is required to have a Record Check?

 

An “employee” includes anyone employed by the organization, temporary agency staff providing gaming services, and volunteers. All employees must complete a record check within 21 days of hire and every 6 years thereafter.

 

For record check purposes, an employee includes any person who:

  1. Directly operates games at a site;
  1. Serves as a shift manager or gaming manager;
  1. Places a deal of pull tabs in a dispensing device, removes currency from a device, or reimburses a bar for redeemed pull tabs or credit ticket vouchers;
  1. Serves on a drop box cash count team; or
  1. Directly sells or distributes gaming equipment for a distributor.

 

The following individuals do not need a record check:

  1. An employee who is 16 or 17 years old;
  1. Employees who only conduct calcutta, raffle, poker, or sports pool activities;
  1. Employees of organizations conducting gaming 14 days or less during a calendar year; or
  1. An employee who has had a record check completed within the previous year, provided a copy of the bureau of criminal investigation’s criminal history record information is submitted to the organization.

 

How do I complete a Record Check?

 

Request for Record Check – Charitable Organizations must submit all background check requests directly to the North Dakota Bureau of Criminal Investigation (BCI). You can access this information online through their website: Requesting a Criminal History Record Check

 

The following items must be included with each background check request:

 

Background Check Results & Recordkeeping Requirements

 

If selected as your preferred method of contact during the application process, background check results will be returned via email. Organizations must coordinate with BCI to establish and maintain one designated email address for receiving these results.

 

Background check dates must be entered when inputting employee information in the Charitable Gaming Organization Portal. It is important that this information is accurate and complete. The Gaming Division will verify compliance using BCI records and the reported dates.

Tax Returns

A charitable gaming organization that has a state gaming license must file a North Dakota gaming tax return online using the Charitable Gaming Organization Portal for each quarter the organization is licensed, even if there was no gaming activity during the quarter.

 

Click Here to Access the Charitable Gaming Organization Portal

 

 

 

Eligible Use Schedule C List

 

 

 

 

Extension Request

 

A request for extension of time for filing a tax return may be granted for good cause. A request for extension must be submitted online through the Charitable Gaming Organization Portal on or before the regular due date for filing the return.

Distributor Forms

A distributor is allowed to sell, lease, or provide gaming equipment to a licensed organization, distributor, or organization that has a permit.

 

  • Electronic Pull Tab Device Distributor Certification SFN 61536
    • This form is used to report information required by the Attorney General’s office and must be filed at least seven calendar days before installing, upgrading, or converting an electronic pull tab device and operating system at a gaming site.

Surveillance Forms

Surveillance (Paddlewheel, Twenty-One)

 

 

  • 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.

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