Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan

Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan

What Is Form MGCB-AD-1050?

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-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.

ADVERTISEMENT

Form Details:

  • Released on September 1, 2021;
  • 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 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.

Download Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan

4.5 of 5 (22 votes)
  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan

    1

  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 2

    2

  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 3

    3

  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 4

    4

  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 5

    5

  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 6

    6

  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 7

    7

  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 8

    8

  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 9

    9

  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 10

    10

  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 11

    11

  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 1
  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 2
  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 3
  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 4
  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 5
  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 6
  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 7
  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 8
  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 9
  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 10
  • Form MGCB-AD-1050 Application for Placement on the List of Disassociated Persons - Michigan, Page 11
Prev 1 2 3 4 5 ... 11 Next
ADVERTISEMENT