Independent Testing Lab Registration (Checklist)

INDEPENDENT TESTING LAB REGISTRATION INSTRUCTIONS. This form is used for the registration of an Independent Testing Lab with the Nevada Gaming Control Board. The applicant must complete and return a checklist along with various forms and documents, including Form 1R Application for Registration, Form 2R Application for Registration by Corporation/Partnership/LLC, Form 4R Personal History Record, Form 5R Personal Financial Questionnaire Registration, Form 10 Affidavit of Full Disclosure, Form 11 Irrevocable Appointment, Form 17 Release and Indemnity of All Claims, and Form 18 Request to Release Information. The applicant must also provide a general description of their business, financial statements (if applicable), and detailed information about their testing facilities, staff, equipment, policies, and procedures. The applicant must sign the checklist, attesting to the accuracy and completeness of the information provided and agreeing to cooperate with all inquiries and investigations. www.FormsWorkflow.com