Division of Pari-mutuel Wagering

The application and attachments are to be completed by individuals or businesses desiring to obtain a Permit to Conduct Pari-Mutuel Wagering.  Upon completion, the original notarized application and all attachments, with a Cashier’s Check for $15,000, made payable to the Department of Business and Professional Regulation, should be returned to the:

DBPR - Division of Pari-Mutuel Wagering

Permit Application

1940 North Monroe Street

Tallahassee, Florida 32399

Required Forms:

DBPR PMW-3010  Permit Application

DBPR PMW-3195  Request for Release of Information

DBPR PMW-3030  Personal History Record

DBPR PMW-3120  Individual Occupational License Application (for each officer and director)

DBPR PMW-3190  Officers and Directors

Permit Investigation Deposit ------------------------------- $15,000

Deposit not required for a quarter horse or non-wagering permit application.

SPECIAL NOTE

Please refer to Chapter 550, Florida Statutes, and Rule 61D-4, Florida Administrative Code, for additional requirements regarding permit applications.