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.
Q: What is Form MGCB-AD-1050?
A: Form MGCB-AD-1050 is an application for placement on the List of Disassociated Persons in Michigan.
Q: What is the List of Disassociated Persons?
A: The List of Disassociated Persons is a list maintained by the Michigan Gaming Control Board (MGCB) consisting of individuals who have voluntarily chosen to be excluded from entering Michigan casinos.
Q: Who can apply for placement on the List of Disassociated Persons?
A: Any individual who is 21 years of age or older can apply for placement on the List of Disassociated Persons.
Q: How do I apply for placement on the List of Disassociated Persons?
A: To apply, you need to complete Form MGCB-AD-1050 and submit it to the MGCB.
Q: Is there a fee for applying?
A: Yes, there is a nonrefundable fee of $40 for submitting the application.
Q: What are the consequences of being on the List of Disassociated Persons?
A: If you are on the List of Disassociated Persons, you are prohibited from entering any Michigan casino and you may be subject to arrest for trespassing if you attempt to enter.
Q: How long does the placement on the List of Disassociated Persons last?
A: The placement on the list is permanent and cannot be reversed or removed.
Q: Can I apply for removal from the List of Disassociated Persons?
A: No, once you are placed on the list, there is no provision for removal. It is permanent.
Q: Can I still apply to work in a Michigan casino if I am on the List of Disassociated Persons?
A: No, being on the List of Disassociated Persons will disqualify you from employment in a Michigan casino.
Form Details:
Download a fillable version of Form MGCB-AD-1050 by clicking the link below or browse more documents and templates provided by the Michigan Gaming Control Board.