olg.licensing@dc.gov
2235 Shannon PL SE, Washington, DC 20020
202-645-8041
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Application Type
If you are renewing your license and any of the information below has changed, please update your application type to Change of Ownership.
Is your business considered a bar or restaurant?
If you answered "Yes" to the above question, please select Weusi Berry as the assigned Sales Coordinator below.
Please select Yes or No Below.
What ward is your business located in?
Business Information
Business Address
OWNERSHIP INFORMATION
Type of Ownership
Is the business late in payment of state & local taxes, interest or penalties?
Is the business late in filing any applicable tax returns to the District?
Has the business owner(s) been convicted of a felony within the last 10 years?
Has the business owner(s) violated lottery laws in any jurisdiction in the last 10 years?
Has the business owner(s) been convicted of a gambling related offense in the last 10 years?
Is the business (or employee or agent) supplying goods or services to the Office of Lottery and Gaming?
Has the business entity filed for bankruptcy?
*You must attach an explanation if you answered "Yes" to any of the questions above.
Upload File(s)
CONTACT INFORMATION
Contact Name for this Application
Business Owner(s)
Mailing Address
Is there a second owner?
Business Owner Information
Home Address
Is there a third owner?
Third Owner Name
Is there a fourth owner?
Owner Name
The Office of Lottery & Gaming does not discriminate on the basis of race, creed, color, ethnicity, national origin, religion, sex, sexual orientation, gender expression, age, height, weight, physical or mental ability, veteran status, military obligations, and marital status.
OPTIONAL - BUSINESS OWNER
(for internal record keeping only, please select the appropriate choices below)
Race
Gender
Ethnicity
Education
Age Range
**PLEASE READ** Once the file is uploaded, please ensure to select UPLOAD to save the document, BEFORE proceeding to upload the next required document.
Click here for examples of required documents
Copy of Application
Copy of the business establishment Certificate of Occupancy.
Copy of the business establishment Basic Business License.
Copy of your Clean Hands Certificate.
Copy of Federal Tax Employment Identification Notice (CP575 or 147C).
Copy of Government issued photo Identification for all owners.
Completed IRS W-9 Form (Business organizations and individual owner(s).
Click here Authorization for Electronic Fund Transfer Form
Supporting Documentation of Settlement Agreement
Renewal Notification of Change Form
Completed Renewal Notification of Change Form
Upload a copy of the business Voided Check or a signed letter from your bank with your business account information.
Click here Corporate Data Supplemental Form Owner #2
Click here Corporate Data Supplemental Form Owner #3
Click here Corporate Data Supplemental Form Owner #4
For Sports Wagering Lottery Retailer Applicants ONLY:
Click here Security Plan Submission Form
Please be advised that failure to submit all required documents will render your application incomplete and ineligible for processing.
LICENSE CONDITIONS The Applicant agrees to the following conditions:
Clean HandsPursuant to the "Clean Hands Before Receiving a License of Permit Act of 1996" (DC Law 11-118, as amended; D.C. Official Code Sec. 47-2861 et seq.), the District of Columbia Government (District) shall not issue or reissue any license or permit to an Applicant if the Applicant owes the District more than $100 in outstanding debt.
Retailer Bulletin Number 97-0001No lottery or daily numbers game tickets shall be sold at other than the price fixed by the D.C. Lottery, and NO sale shall be made by other than the licensee or licensee's employees. Lottery tickets shall ONLY BE SOLD TO PERSONS 18 YEARS OLD OR OLDER. Any person convicted of violating this section shall be subject to a fine not to exceed $1,000 or imprisonment not to exceed 6 months, or both.
Your lottery license is non-transferable. If you are considering selling your business, an application for license of new owners must be filed 45 days prior to actual change of ownership. Lottery Indemnification AgreementAs a condition of licensure the Applicant agrees to indemnify and to save harmless the District of Columbia against any and all actions, claims and demands of whatever kind or nature that the District of Columbia may incur by reason of or in consequence of issuing a lottery retailer license to the licensee.
CREDIT CHECK AND RELEASE OF INFORMATION By signing this authorization for Background Check, Credit Check and Release of Information, I expressly authorize the Office of Lottery and Gaming (OLG) to obtain a credit report, and personal and business records which may assist the OLG in determining my eligibility for a lottery retailer license.
I expressly waive, release, discharge and forever hold harmless and agree to indemnify any local, state or federal government body; commercial or business enterprise; non-profit entity; individual; or any other public or private entity that releases information to the OLG under the authority of this Authorization.
I am aware that false or misleading statements or failure to provide required information may be cause for denial of my application for a lottery retailer license in the District of Columbia. I have agreed to submit this Authorization for Background Check, Credit Check and Release of Information.
Pursuant to D.C. Official Code § 22-2405, a person commits the offense of making false statements if that person willfully makes a false statement that is in fact material, in writing, directly or indirectly, to any instrumentality of the District of Columbia government, under circumstances in which the statement could reasonably be expected to be relied upon as true. Any person convicted of making false statements shall be fined not more than the amount set forth in D.C. Official Code § 22-3571.01 or imprisoned for not more than 180 days, or both.
SPORTS RETAILER LICENSE APPLICATION AGREEMENTThe submission of a DC Lottery Sports Retailer license application and application fee of $5,000 does not guarantee that a license will be issued. Sports Retailer applications are reviewed to determine the Applicant's ability to serve the economical and efficient operation of a lottery and lottery operated sports book through the sale of lottery and sports wagering tickets. The issuing of a Sports Retailer license is within the discretion of the Office of the Chief Financial Officer of the District of Columbia and the Executive Director of the Office of Lottery and Gaming depending on the Lottery's judgment regarding: (1) Accessibility of the business to individuals with disabilities; (2) financial stability and responsibility of the business; (3) the sufficiency of existing licenses to serve public convenience and (4) the volume of expected sales.
In addition, the Applicant agrees to and must adhere to the following requirements and responsibilities:
RETAILER LICENSE APPLICATION AGREEMENT
The submission of a DC Lottery Retailer license application does not guarantee that a license will be issued. Applications are reviewed to determine the Applicant's ability to serve the economical and efficient operation of a lottery through the sale of lottery tickets. The issuing of a lottery license is within the discretion of the Office of the Chief Financial Officer of the District of Columbia and the Executive Director of the Office of Lottery and Gaming depending on the Lottery's judgment regarding: (1) Accessibility of the business to individuals with disabilities; (2) financial stability and responsibility of the business; (3) the sufficiency of existing licenses to serve public convenience and (4) the volume of expected sales.
ACCOUNT OPTIONS
By creating an account and submitting a DC Lottery application, you agree to receive emails, text messages to your phone, or other communications from the Lottery, which may be automated and could include such topics as, but not limited to, the following: Newsletters, license renewal reminders, promotions, surveys, Lottery application updates, Lottery license updates. You may opt-out by unsubscribing or texting STOP.
By checking this box I have read and agree to the above statements.
BY SIGNING THIS APPLICATION, I CERTIFY THAT THE ANSWERS ARE CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I ALSO CERTIFY THAT:
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