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
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 firstname.lastname@example.org, 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, 12th Floor
Boston, MA 02110
ATTN: Division of Licensing