Notification obligations for Gaming Service Employees, Gaming Employees, and Key Gaming Employees

Individuals who are licensed or registered by the Massachusetts Gaming Commission have a continuing duty to notify and update the Commission within ten (10) days of the occurrence of:

• Any arrest, indictment, charge or criminal conviction in any jurisdiction;

• Any exclusion from any casino, gaming establishment or gambling entity in any jurisdiction;

• Any denial, suspension or revocation by a government agency in any jurisdiction of a license, registration or approval held by or applied for by the individual;

• Any discipline imposed by a government agency in any jurisdiction; and/or

• Any reports, complaints or allegations of which the individual is or should be aware involving conduct that could lead to criminal charges.

Employee Reporting Obligations Form

* DENOTES REQUIRED FIELD

Additional Documentation

Please submit copies of official documentation in your possession related to this incident. Documentation might include (but is not limited to) court paperwork, police reports, and/or correspondence from a government agency. Email the documentation to mgcemployeereporting@massgaming.gov, or fax to 617.737.8066.

Submit a paper form

If you would like to submit a paper form, please download it here. You may submit the form to a Gaming Agent at a Massachusetts gaming facility, or mail it to:

Massachusetts Gaming Commission
101 Federal Street, 12^th Floor
Boston, MA 02110
ATTN: Division of Licensing