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This version of the form is not currently in use and is provided for reference only. Download this version of
Form MGCB-AD-1015
for the current year.
Form MGCB-AD-1015 Disassociated Persons List Information Update Notification - Michigan
What Is Form MGCB-AD-1015?
This is a legal form that was released by the Michigan Gaming Control Board - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form MGCB-AD-1015?
A: Form MGCB-AD-1015 is a Disassociated Persons List Information Update Notification form in Michigan.
Q: Who needs to submit Form MGCB-AD-1015?
A: Individuals who are on the Disassociated Persons List in Michigan and have changes to their personal information need to submit Form MGCB-AD-1015.
Q: What is the Disassociated Persons List?
A: The Disassociated Persons List is a list maintained by the Michigan Gaming Control Board (MGCB) containing the names and personal information of individuals who have voluntarily requested to be excluded from all licensed casinos in Michigan.
Q: What information can be updated using Form MGCB-AD-1015?
A: Form MGCB-AD-1015 can be used to update personal information such as name, address, phone number, and email address.
Q: How do I submit Form MGCB-AD-1015?
A: Form MGCB-AD-1015 can be submitted by mail, fax, or email according to the instructions provided on the form.
Q: Is there a fee for submitting Form MGCB-AD-1015?
A: No, there is no fee for submitting Form MGCB-AD-1015.
Q: What if I want to be removed from the Disassociated Persons List?
A: If you want to be removed from the Disassociated Persons List, you need to contact the Michigan Gaming Control Board (MGCB) and follow their procedures.
Q: Are my updates immediately effective after submitting Form MGCB-AD-1015?
A: No, the updates may take some time to be processed and reflected in the Disassociated Persons List.
Q: What are the consequences of being on the Disassociated Persons List?
A: Being on the Disassociated Persons List means that you are voluntarily excluded from all licensed casinos in Michigan. If you attempt to enter a casino while on the list, you may be subject to legal consequences.
Form Details:
- Released on March 1, 2004;
- The latest edition provided by the Michigan Gaming Control Board;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form MGCB-AD-1015 by clicking the link below or browse more documents and templates provided by the Michigan Gaming Control Board.
