Form VGD020199 "Gaming Device Software Change Request Form" - Louisiana

What Is Form VGD020199?

This is a legal form that was released by the Louisiana State Police - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2016;
  • The latest edition provided by the Louisiana State Police;
  • 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 fillable version of Form VGD020199 by clicking the link below or browse more documents and templates provided by the Louisiana State Police.

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Download Form VGD020199 "Gaming Device Software Change Request Form" - Louisiana

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LOUISIANA STATE POLICE
99
GENERAL GAMING DIVISION
GAMING DEVICE SOFTWARE CHANGE REQUEST FORM
Phone #: 225-922-2222
TECHNCAL STAFF
videogaming.technical@la.gov
PHONE NUMBERS
Software Change Request shall be received by the Division
between 8:00 am – 4:00 pm the DAY BEFORE the conversion.
TODAY’S DATE:
DEVICE OWNER COMPANY NAME:
(List only one Device Owner per form)
DEVICE OWNER CONTACT PHONE NUMBER:
(
)
-
Est. Lic#
Term.
Establishment Name:
New
(Last 5
Index
Permit #:
Old Version:
Version:
digits)
#;
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VGD020199 (R05/16.1)
LOUISIANA STATE POLICE
99
GENERAL GAMING DIVISION
GAMING DEVICE SOFTWARE CHANGE REQUEST FORM
Phone #: 225-922-2222
TECHNCAL STAFF
videogaming.technical@la.gov
PHONE NUMBERS
Software Change Request shall be received by the Division
between 8:00 am – 4:00 pm the DAY BEFORE the conversion.
TODAY’S DATE:
DEVICE OWNER COMPANY NAME:
(List only one Device Owner per form)
DEVICE OWNER CONTACT PHONE NUMBER:
(
)
-
Est. Lic#
Term.
Establishment Name:
New
(Last 5
Index
Permit #:
Old Version:
Version:
digits)
#;
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
VGD020199 (R05/16.1)