Fantasy Contest Provider License Applications

Applications for Fantasy Contest providers will be accepted
beginning March 19, 2018.

The process for all Fantasy Contest applications will be as follows:
  1. Once an application is submitted, the applicant will receive instructions for how to be fingerprinted.
  2. After the PGCB receives the fingerprint results and all other deficiencies in the application are cured, the application will be deemed complete.
  3. The completed application for each individual and entity will undergo a background investigation.
Enterprise Entity Application and Disclosure Information Form
PDF
Entities applying as a Fantasy Contest Operator must complete this form. An intermediary or holding company of an applicant or licensee must also complete this form.
Multi-Jurisdictional Personal History Disclosure Form PDF
Individuals applying as a Principal/Key Employee must complete the form.
Principal/Key Employee Form-Pennsylvania Supplement to the Multi-Jurisdictional Personal History Disclosure Form PDF
Individuals applying for a Principal/Key Employee must complete the form.
Principal Entity Form PDF
An entity that is otherwise required to be licensed as a Principal and is not an intermediary or holding company of an applicant or licensee must complete this form.
Institutional_Investor_Notice_of_Ownership PDF