1. (a) To apply for a license to become a lottery retailer, the applicant shall submit the following to the commission:

   1. (1) A completed “Lottery Retailer Application” form (1/2026), which shall include the following:

      1. a. Certifications from each of the current owners, partners, members, managers and officers of the business affirming that:

         1. 1. They have not been convicted of a felony or a Class A misdemeanor within the previous 10 years, which has not been annulled by a court, or a class B misdemeanor within the past 5 years, which has not been annulled by a court, and has not violated any of the statutes or rules governing gaming in the past in this or any other state;
         2. 2. By signing the form, they affirm their consent for the commission to conduct a check on their credit history; and
         3. 3. They understand that a check will be performed of their credit history and, if their credit history does not meet the threshold set by the commission, the applicant may be required to provide a surety bond naming the commission as obligee and conditioned upon the applicant’s compliance with payment obligations relative to weekly settlement and remittances;

      2. b. A certification from the authorized representative of the business signing the application on behalf of the business affirming that:

         1. 1. The individuals is authorized to submit the application on behalf of the business;
         2. 2. The business will not allow any employee to operate KENO 603 games if such person has been convicted of a felony within the previous 10 years, which has not been annulled by a court, or a misdemeanor involving falsehood or dishonesty within the previous 5 years, which has not been annulled by a court, or has violated the statutes or rules governing gaming in this or any state; and
         3. 3. The information provided on the form and on any of the supporting documentation is true, accurate and complete and that there are no willful misrepresentations in or falsifications of the information provided therein;
   2. (2) If the applicant is seeking to license multiple locations, a completed “Business Information Worksheet” form (1/2026);
   3. (3) If the applicant is conducting business under any name other than the applicant’s own legal name, proof of current registration with the New Hampshire secretary of state, corporation division;
   4. (4) A completed New Hampshire Bureau of Purchase and Property “State of New Hampshire Alternate W-9 Form” (4/2024) available on the commission’s website (www.nhlottery.com/retailers);

   5. (5) A completed “Authorization Agreement for Variable Withdrawals (ACH-Debits)” form (1/2026) available on the commission’s website (www.nhlottery.com/retailers), along with:

      1. a. If withdrawals will be taken from a checking account, a voided check from that account; or
      2. b. If withdrawal will be taken from a saving account, bank verification for that account;
   6. (6) A signed “New Hampshire Lottery Retailer Uniform Agreement” form (1/2026) available on the commission’s website (www.nhlottery.com/retailers);
   7. (7) A copy of a state or government issued ID such as a driver’s license or passport, for each owner, partner, member, manager, or officer of the business identified in Sections 5 of the application; and
   8. (8) A completed New Hampshire State Police “Criminal Records Release Authorization Form” (DSSP392 rev. 5/2017) for each individual identified in Section 5 of the application submitted in accordance with (1) above, along with payment of the applicable fee as established by the NH state police. This form is available on the commission’s website (www.nhlottery.com/retailers).
2. (b) An application shall be deemed complete when, upon review, the commission determines that the application is legible, includes all the items required by (a) above, and does not contain apparent errors or omissions.
3. (c) If, upon review, the commission determines that the application is illegible, does not include all the items required by (a) above, or contains apparent errors or omissions, the commission shall consider the application incomplete and return the application to the applicant.
4. (d) If at any time the applicant or licensee discovers that information provided in accordance with (a) above has changed, or is otherwise found to be inaccurate, they shall submit updated or corrected information to the commission within 10 days of the event that resulted in the change, or discovery of the inaccuracy.

Source. #14474, eff 1-7-26, EXPIRES 1-7-36