# COLVILLE TRIBAL GAMING COMMISSION (2024) > Briefs, arguments, decisions, and more. URL: https://www.frixlaw.com/law-library/documents/tribal%3Aconfederated_colville%3A7c4a7dfa52b429e6 ## Record - **Collection:** Tribal code - **Document type:** Tribal code ## Text COLVILLE TRIBAL GAMING COMMISSION 729 JACKSON STREET P.O. BOX 1647 OMAK, WASHINGTON 98841 (509) 422-7715 / (509) 422-7719 FAX Colville Gaming License Application CTGC Resolution 2005-010 Revised: Resolution 2011-020 Revised: Resolution 2013-033 Revised TGC 2014-161 Revised: TGC 2016-195 Revised: Resolution 2017-018 Revised: TGC 2018-152 Revised: Resolution 2021-005 Revised: TGC 2024-153, 6-18-2024 March 26, 2021 Colville Tribal Gaming Commission 729 Jackson Street, P.O. Box 1647, Omak, WA 98841 (509) 422-7722 / (509) 422-7725 / (509) 422-7726 / Fax: (509) 422-7720 OVERVIEW OF COLVILLE TRIBAL GAMING: 1. Pursuant to sovereign powers that predate the United States, the Confederated Tribes of the Colville Reservation (Tribes) have governmental authority over all gaming operations within their jurisdiction. 2. Currently, there are three Colville casinos (12 Tribes Resort, Coulee Dam, and Mill Bay), operated by the Colville Gaming LLC, a wholly owned tribal corporation. 3. Pursuant to Colville law, responsibility for enforcing Colville tribal gaming law and regulations, as well as applicable federal and state laws and regulations, has been delegated to the Colville Tribal Gaming Commission. See Colville Tribal Code Section 6-5 (Gaming). 4. In accordance with Colville law, all tribal gaming licenses are issued by the Colville Tribal Gaming Commission. 5. The Indian Gaming Regulatory Act of 1988 (IGRA), 25 U.S.C. 2701 et seq., is a federal law that applies to Class II and Class III Indian gaming. IGRA includes the following requirements for Colville tribal gaming operations: a. All Colville Gaming LLC gaming employees are required to obtain a tribal gaming license as a condition of employment. b. An extensive background investigation is required for each tribal gaming license. c. An Indian Tribe may not issue a license to any person who poses a threat to the public interest or the effective regulation of tribal gaming. d. A detailed report on each employee’s eligibility and qualifications for a gaming license must be submitted to the National Indian Gaming Commission. e. Indian Tribes are required to enter into a Tribal-State Compact on Class III gaming. 6. The Tribes have entered into a Tribal-State Compact with the State of Washington which includes a review of Class III Colville tribal gaming licenses by the Washington State Gambling Commission. 7. The Tribes have entered into a Memorandum of Understanding (MOU) regarding the dissemination of criminal history record information (CHRI) from the Federal Bureau of Investigation (FBI) by the National Indian Gaming Commission which includes prior to taking applicant’s fingerprints, the Tribe agrees to adhere to those standards outlined in this MOU. Revised: TGC 2024-153, 6-18-2024 2 of 22 INSTRUCTIONS FOR THE GAMING LICENSE APPLICATION PROCESS 1. Review the Colville Individual Licensing Regulations (Regulations) and make sure that you meet the qualifications for a gaming license. Licensing requirements are strictly enforced by the Colville Tribal Gaming Commission. 2. Make sure you have completely and accurately filled out the application. 3. a. Colville Gaming LLC employees: your completed application is forwarded to the Colville Tribal Gaming Commission Licensing Analyst by the casino’s Human Resources Analyst, who is processing your application for employment. b. Colville Tribal Gaming Commission employees: your completed application is submitted directly to the Colville Tribal Gaming Commission Licensing Analyst. 4. Initial processing of gaming license applications takes place prior to Casino’s orientation which is usually on Wednesdays of each week. 5. It may take up to 10 regular business days to complete a preliminary determination of your eligibility for a temporary gaming permit. (See Section 2.050 of the Regulations for a description of the backgrounds investigation process.) 6. Bring with you the following required items: a. Driver’s license or state-issued identification (must be unexpired). b. Social Security card. c. Tribal identification, if applicable. d. Alien or naturalization registration card, if applicable (must be unexpired). 7. If you have recently been married, divorced, or changed your name and your identification documents have not been updated, bring your marriage certificate, divorce, or other court decree which shows a change of marital status and/or name. 8. If you have any documents which may affect your eligibility for a gaming license, including court orders, bring them with you. Revised: TGC 2024-153, 6-18-2024 3 of 22 NOTE: AN INCOMPLETE APPLICATION WILL NOT BE PROCESSED AND MAY RESULT IN THE AUTOMATIC DENIAL OF A GAMING LICENSE . (See Section 2.060 of the Commission’s “Individual Licensing Regulations”) Colville Tribal Gaming Commission 729 Jackson Street, P.O. Box 1647, Omak, WA 98841 (509) 422-7722 / (509) 422-7725 / (509) 422-7726 / Fax: (509) 422-7720 APPLICATION FOR COLVILLE GAMING LICENSE Please Read In Compliance with the Federal Privacy Act of 1974, the following information is provided: Solicitation of the information on this form is authorized by 25 U.S.C. §§ 2701, et seq. The purpose of the requested information is to determine the eligibility of individuals to be granted a gaming license. The information will be used by the Tribal Gaming regulatory authorities and the National Indian Gaming Commission (NIGC) members and staff who have need for the information in the performance of their official duties. The information may be disclosed by the Tribes or the NIGC to appropriate Federal, Tribal, State, local or foreign law enforcement and regulatory agencies when relevant to civil, criminal or regulatory investigations or prosecutions or when pursuant to a requirement by a Tribes or the NIGC in connection with the issuance, denial, or revocation of a gaming license, or investigations of activities while associated with a Tribes or Gaming Operation. Failure to consent to the disclosures indicated in this notice will result in a Tribes being unable to license you as a tribal gaming employee, including primary management official or key employee positions. The disclosure of your Social Security Number (SSN) is voluntary. However, failure to supply a SSN may result in errors in processing your application. A false statement on any part of your license application may be grounds for denying a license or the suspension or revocation of a license. Also, you may be punished by fine or imprisonment (U.S. Code, title 18, section 1001). Revised: TGC 2024-153, 6-18-2024 4 of 22 Please Read In Compliance with the NONCRIMINAL JUSTICE APPLICANT’S PRIVACY ACT, the following information is provided: As an applicant who is the subject of a national fingerprint-based criminal history record check for a noncriminal justice purpose (such as an application for employment or license, an immigration or naturalization matter, security clearance, or adoption), you have certain rights which are discussed below. All notices must be provided to you in writing (written notification includes electronic notification, but excludes oral notification). These obligations are pursuant to the Privacy Act of 1972, Title 5, United States Cod (U.S.C.) Section 552a, and Title 28 Code of Federal Regulations (CFR), 50.12, among other authorities. * You must be provided an adequate written FBI Privacy Act Statement (dated 2013 or later) when you submit your fingerprints and associated personal information. This Privacy Act Statement must explain the authority for collecting your fingerprints and associated information and whether your fingerprints and associated information will be searched, shared, or retained. https://www.fbi.gov/services/cjis/compact-council/privacy-act-statement * You must be advised in writing of the procedures for obtaining a change, correction, or update of your FBII criminal history record as set forth at Title 28 CFR 16.34. * You must be provided the opportunity to complete or challenge the accuracy of the information in your FBI criminal history record (if you have such a record). * If you have a criminal history record, you should be afforded a reasonable amount of time to correct or complete the record (or decline to do so) before the officials deny you the employment, license, or other benefit based on information in the criminal history record. * You have the right to expect that officials receiving the results of the criminal history record check will use it only for authorized purposes and will not retain or disseminate it in violation of the federal statute, regulation or execution order, or rule, procedure or standard established by the National Crime Prevention and Privacy Compact Council. See 5 U.S.C. 552a(b); 28 U.S.C. 534(b); 34 U.S.C, § 40316 (formerly cited as 42 U.S.C. 14616), Article IV(c); 28 CFR 20.21(c), 20.33(d) and 906.2(d). * Agency policy does not permit us to provide you a copy of the record, however, you may obtain a copy of the record by submitting fingerprints and a fee to the FBI. Information regarding this process may be obtained at http://www.fbi.gov/about-us/cjis/backgrounds-checks * If you decide to challenge the accuracy or completeness of your FBI criminal history record, you should send your challenge to the agency that contributed the questioned information to the FBI. Alternatively, you may send your challenge directly to the FBI by submitting a request via http://www.edo.cjis.gov. The FBI will then forward your challenge to the agency that contributed the questioned information and request the agency to verify or correct the challenged entry. Upon receipt of an official communication from that agency, the FBI will make any necessary changes/corrections to your record in accordance with the information supplied by that agency. (See 28 CFR 16.30 through 16.34.) Revised: TGC 2024-153, 6-18-2024 5 of 22 Section One A. Full Legal Name: Last: Other names used: First: Middle: List all names used including aliases, maiden name, married names, nick names (written or oral) B. Tribal Affiliation:__________________________ Enrollment # ___________ C. Height: Weight: Eye Color: Hair Color: Gender: Male Female All languages (spoken or written): Birthmarks, Scars, Tattoos, or distinguishing marks: D. Date of Birth: Place of Birth: City Age: SSN: County State E. Are you a citizen of the United States? Yes Country No F. If Alien, Registration Number: G. If Naturalized, Naturalization Number: Date: Place: Month/day/year Employment position(s) for which you are applying: Date of your application: Month/day/year Marital Information: Single: Married: Divorced: Widowed: Engaged: Spouse’s Full Name (family/maiden name): Phone: Residence Address: Separated: Section Two A. Current Home Address Physical Address Mailing Address Street Address City State Zip Code (If different than physical address) Telephone Numbers: Home :( ) Work, Cell, or Message: ( ) If you rent or lease your residence, provide the name and address of the person responsible for collecting the rent/lease payments: Name Revised: TGC 2024-153, 6-18-2024 Complete Address 6 of 22 Telephone Number(s) B. Previous home addresses during the past ten years (If you need additional space, use a separate page.) Physical Address: Physical Address: Physical Address: Physical Address: Street Address City State Zip Code Street Address City State Zip Code Street Address City State Zip Code Street Address City State Zip Code C. Current Business Address, including the previous five years Business Address Street Address City State Zip Code Business Telephone Number(s): ( ) Section Three A. Family. List three relatives with whom you have a close personal relationship (including children). Provide a complete physical address and include name, mailing address, city, state, zip code, and phone numbers. Name and Relationship Complete Current Address Complete Phone Number B. Personal References – Not Related. List at least three individuals who have knowledge of you and your qualifications. Exclude relatives and former employers. Include one personal reference who was acquainted with you during each period of residence listed in Section Two (B). Provide name, complete mailing address, and phone numbers for each person. (If you need additional space, use a separate page.) Name and Relationship Revised: TGC 2024-153, 6-18-2024 Complete Current Address 7 of 22 Complete Phone Number C. Residents or Roommates. List all individuals with whom you have resided during the past ten years. Provide the name, complete mailing address, city, state, zip code, and phone numbers for each person. (If you need additional space, use a separate page.) Name and Relationship Complete Current Address Complete Phone Number Section Four - Experience and Employment Beginning with your most current employment, list all business and employment positions held during the previous five years (including part-time, temporary, and voluntary). For identification and verification, indicate the nature of the activity; i.e., full-time, part-time, or voluntary. Provide complete addresses and phone numbers. (Use a separate page if you need additional space). NOTE: If you have had intermittent periods of military service or unemployment, list those periods in sequence in the spaces provided. Dates of Employment: Name and Address of Employer: Name/Title of Supervisor: From: __________/__________ To: Name(s) of Co-Workers: __________/__________ Phone Number: Full-Time __________ Title and Duties: Part-Time __________ Voluntary __________ Reason for Leaving: Military Unemployed From: / Dates of Employment: Name and Address of Employer: From: __________/__________ To: __________/__________ Phone Number: Full-Time __________ Title and Duties: Part-Time __________ To: / Name/Title of Supervisor: Name(s) of Co-Workers: Voluntary __________ Reason for Leaving: Military Unemployed Revised: TGC 2024-153, 6-18-2024 From: 8 of 22 / To: / Section Five - Education A. Did you graduate from high school or complete a G.E.D. program? Yes No B. Have you ever been enrolled in college or a specialized technical training program? Yes No C. For each school or college you have attended, provide the name of the school, address, contact person, telephone number, the date(s) of enrollment, course of study, and whether you graduated, received a degree or certificate, are currently taking classes, did not finish (DNF). Provide additional information, as needed. School’s Name: School’s Address: School’s Phone Number: Attendance or Enrollment Dates: Graduated (degree) Attending, DNF Section Six - Military Experience A. Have you ever served in the Armed Forces, National Guard, or Reserve? If “yes” provide the following information. Yes Branch of Military Service / Dates of Service Service Number: From: / To: No Type of Discharge: B. Are you currently participating in any Military Reserve or National Guard program? Yes No Revised: TGC 2024-153, 6-18-2024 9 of 22 Section Seven - Charges, Arrests, and Convictions A. For each criminal and non-criminal charge, arrest and conviction (including juvenile cases, traffic and civil infractions) within ten years of the date of this application, describe the charge, give the name and address of the court, including the county where the court is located, and state whether there is an ongoing prosecution or there was a disposition/conviction. Attach a copy of any court orders. (Use a separate page if you need additional space) Date Charge Name, Address of the Court Finding, Judgment, Disposition, Fine B. For each felony charge, arrest and conviction, describe the charge, give the name and address of the court, including the county where the court is located, and state whether there is an ongoing prosecution or there was a disposition/conviction. Attach a copy of any court orders. (Use a separate page if you need additional space) Date Charge Name, Address of the Court Finding, Judgment, Disposition, Fine C. Have you ever been charged, arrested or convicted under any other name? If “yes,” provide the name, date, charge, name, address, and county Yes No of the court involved, and the findings, judgment, or disposition of the case. D. Have you ever testified before a federal, state, tribal, or county grand jury, board, or commission? Yes No If “yes,” provide contact information for the grand jury, board, or commission. Also explain what your involvement was and for what reason. Revised: TGC 2024-153, 6-18-2024 10 of 22 E. Do you currently have any civil cases pending for or against you? Yes No F. Have you ever been placed on court probation? No Yes NOTE: If you answered “yes” to any question in this section, provide a complete explanation on a separate page. Section Eight A. Driving Record (current and previous five years) Driver’s License Number: Issuing State/Province/Country: Expiration Date: Driver’s License Number: Issuing State/Province/Country: Expiration Date: Driver’s License Number: Issuing State/Province/Country: Expiration Date: B. Other states, provinces or countries where you have been licensed to operate a motor vehicle: State/Province/Country: State/Province/Country: State/Province/Country: Name under which license was Name under which license was Name under which license was granted: granted: granted: License Number: License Number: C. Have you every had a driver’s license revoked? License Number: Yes No D. Have you ever been refused a driver’s license by any state, province or country? Yes No If you answered “yes” to C or D, provide a full explanation (include when, where, and why). Revised: TGC 2024-153, 6-18-2024 11 of 22 Section Nine - Financial Record A. Have you ever filed for or declared bankruptcy? Yes No B. Have you ever been reported to a collection agency? Yes No C. Have you ever had “purchased goods” repossessed? Yes No D. Have your wages ever been garnished? Yes No E. Have you ever been delinquent on income tax or other tax payments? Yes No If “yes,” provide full details (include when, where, and why). If “yes,” provide full details (include when, where, and why). This includes unpaid fines, judgments, etc… “Purchased goods” include items such as cars, furniture, appliances, electronics, etc. If “yes,” provide full details (include what, when, where, and why). If “yes,” provide full details (include when, where, why, and by what agency). If “yes,” provide full details (include when, where, and why). Revised: TGC 2024-153, 6-18-2024 12 of 22 Section Ten - Gaming and Licensing A. Describe current and any previous five years or existing business relationships with Indian Tribes or with the gaming industry generally, including ownership interests in those businesses. B. Financial or any other interest in gaming activities: Indicate whether you have a financial interest in any gaming activity, including a non-Indian business or interest. Have you ever invested in or loaned money to any gaming facility or activity? Yes No Have you ever had an option to purchase or a contract to provide services to any gaming facility or activity? Yes No Do you own or have an ownership interest in any equipment being leased or otherwise provided to any gaming facilities? Yes No Do you have investment or ownership interests in any business involved in any activities listed herein? Yes No Have you ever worked in any capacity for a gaming operation? Yes No C. Have you ever applied for a permit or a license related to gaming? Yes No If you answered “yes” to any of the above questions, provide a full explanation on a separate page. Have you ever had a permit or license related to gaming denied, revoked, or suspended? Yes No If you answered “yes,” to either of the above questions, provide the following information: Type of License: State: License Number: Expiration Date: Agency Issuing License: Agency Address: If this license was denied, revoked, or suspended, provide all the details, and explain why: Revised: TGC 2024-153, 6-18-2024 13 of 22 D. Have you ever held or applied for, or been denied a privileged or professional license with any licensing or regulatory agency? Yes No (This includes a liquor license, realtor’s license, nursing license/certification, law license, etc.) If “yes,” provide the following information, including the issuing agency, address, etc. Type of License: Issuing Agency and Address License Number: Expiration Date: (date of denial) Important I certify that all statements made in this application document are TRUE, COMPLETE, and CORRECT to the best of my knowledge and belief, and are made in good faith. I am aware that the purpose of this investigation is to determine my eligibility for a gaming license. I authorize and grant my consent to permit any law enforcement agency and any other person, business or agency deemed necessary, to release any information to the Tribes, National Indian Gaming Commission and the Washington State Gambling Commission. I understand that failure to answer any question on this application completely and truthfully may result in the denial of a gaming license. Full Legal Name: (Please print) Last Name Date of Birth: First Name Social Security Number: Signature: Revised: TGC 2024-153, 6-18-2024 Middle Name Date: 14 of 22 Colville Tribal Gaming Commission 729 Jackson Street, P.O. Box 1647, Omak, WA 98841 (509) 422-7722 / (509) 422-7725 / (509) 422-7726 / Fax: (509) 422-7720 AUTHORIZATION TO RELEASE INFORMATION As an applicant for a gaming license with the Colville Gaming Commission, I am required to furnish information for use in determining my qualifications and eligibility for a Colville Gaming License. The Colville Tribal Gaming Commission is authorized to ask for this information pursuant to authority granted by federal and Colville tribal law. The release of the information requested is voluntary. However, failure to complete this release may result in an incomplete application. The purpose of this request for information, and the authorization of this release, is for the sole purpose of determining my gaming license qualifications and eligibility. As a license applicant, I understand that this release will remain in effect for the duration of my license with the Colville Tribal Gaming Commission. This release will expire upon my termination of employment with the Colville Gaming LLC or with the Colville Tribal Gaming Commission. I also understand that periodic review of my background will continue after a Colville Tribal Gaming License is granted, and that I am responsible for maintaining current information in my application file. This document authorizes release of requested information, whether or not such information would otherwise be protected from disclosure by any constitutional, statutory or common law privilege. I authorize review and copying of all documents. I agree to accept any risk of adverse public notice, embarrassment, criticism or financial loss that may result from use of information that is obtained in connection with a background investigation for the purpose of determining my qualifications and eligibility for a Colville Tribal Gaming License. I authorize release of any information related to my activities, including schools, property interests (real and personal), employment, criminal justice agencies, regulatory agencies, businesses, financial and lending institutions. I acknowledge and agree that any inquiry may include information as to my character, general reputation, personal characteristics, and mode of living. I relinquish any right that I may otherwise have to pursue a cause of action against any person (or his or her agent) to whom this request is presented when such cause of action arises out of response to a request for information pursuant to the Indian Gaming Regulatory Act (25 U.S.C.2701, et seq.). I further agree to indemnify and hold harmless any person to whom this request is lawfully presented. Such indemnification and holding harmless includes all claims, damages, losses and expenses, including reasonable attorney fees. Last Name: Date of birth: First Name: Social Security Number: Applicant’s Signature: Revised: TGC 2024-153, 6-18-2024 MI: Date: 15 of 22 Colville Tribal Gaming Commission 729 Jackson Street, P.O. Box 1647, Omak, WA 98841 (509) 422-7722 / (509) 422-7725 / (509) 422-7726 / Fax: (509) 422-7720 MEMORANDUM OF UNDERSTANDING I, ____________________________________, understand that I am being accepted on a preliminary basis for a Temporary Gaming Permit by the Colville Tribal Gaming Commission. I understand that I will be asked questions pertaining to my background investigation which I must answer truthfully and completely. If at any time throughout my background investigation it is determined that I did not provide material information or that the information I provided was false or misrepresented in any manner, further consideration for a Gaming License by the Colville Tribal Gaming Commission must be reviewed by the Director of the Gaming Commission and my application may be denied. I understand that my Temporary Gaming Permit is conditional until my background investigation is completed. By signing below, I am stating that the information I have provided to the Colville Commission Licensing Investigator is complete, true and correct to the best of my knowledge. I also understand that inquiries regarding my continued qualification and eligibility for a Gaming License may be made as needed. I hereby authorize any such inquiries to be made, as determined necessary by the Colville Commission Licensing Investigator, including criminal and credit history checks. Applicant Signature: Date: Licensing Analyst: Revised: TGC 2024-153, 6-18-2024 Date: 16 of 22 Colville Tribal Gaming Commission 729 Jackson Street, P.O. Box 1647, Omak, WA 98841 (509) 422-7722 / (509) 422-7725 / (509) 422-7726 / Fax: (509) 422-7720 PRIVACY ACT NOTICE In Compliance with the Privacy Act of 1974, 5 U.S.C. 552a, as amended, applies to the information provided in your application for a Colville Tribal Gaming License. This federal law is also known as the Freedom of Information Act (FOIA). The Indian Gaming Regulatory Act (IGRA), 25 U.S.C. §§ 2701, et seq., and IGRA regulations, rules and procedures apply to tribal gaming licenses. IGRA requires that this information be provided to the National Indian Gaming Commission, a federal agency under the Privacy Act. The Privacy Act requires that documents submitted by tribes to federal agencies be treated the same as any other records under FOIA. This means that these documents are public information unless they fall under one of nine exemptions. The purpose of the requested information is to determine the eligibility of individuals to be granted a gaming license. The information will be used by the Colville Tribal Gaming Commission, the National Indian Gaming Commission and staff who have a need (such as the Washington State Gambling Commission (WSGC or State)) for the information in the performance of their official duties. The information may be disclosed by the Tribes or NIGC to appropriate Federal, Tribal, State, local or foreign law enforcement and regulatory agencies when relevant to civil, criminal or regulatory investigations or prosecutions or when pursuant to a requirement by a Tribes or the NIGC in connection with the issuance, denial, or revocation of a gaming license, or investigations of activities while associated with a Tribes or Gaming Operation. Failure to consent to the disclosures indicated in this notice will result in the Tribes being unable to license you as a tribal gaming employee, including primary management official or key employee positions. The disclosure of your Social Security Number (SSN) is voluntary. However, failure to supply your SSN may result in errors in processing your application. FALSE STATEMENT NOTICE A false statement on any part of your application may be grounds for denying a license or the suspension or revocation of a license. Also, you may be punished by fine or imprisonment (U.S. Code, title 18, section 1001). Last Name: First Name: Middle Initial: Date of birth: ____________________________ Social Security Number: Applicant’s signature: ______________________________________ Date: Revised: TGC 2024-153, 6-18-2024 17 of 22 Colville Tribal Gaming Commission 729 Jackson Street, P.O. Box 1647, Omak, WA 98841 (509) 422-7722 / (509) 422-7725 / (509) 422-7726 / Fax: (509) 422-7720 APPLICANT ASSURANCES I have read and understand the below information, which includes cited sections of the Colville Tribal Gaming Commission Individual Licensing Regulations (“Regulations”). I acknowledge, accept, and understand the following: 1. Consent of civil jurisdiction of the Tribes, Commission, or the Tribal Court. See Colville Tribal Code Section 6-5 (Gaming). 2. The purpose of these regulations is to ensure the honesty, integrity, fairness and good character of the Colville Tribal Casinos and their employees, to protect the health, safety, good order and general welfare of the people of the Colville Reservation and the State of Washington, and to protect the public trust and the assets of the Casinos and the Confederated Tribes of the Colville Reservation. 1.020 3. It is my responsibility to prove that I am qualified under these regulations. 2.010.3 4. I am responsible for payment of licensing fees. 1.060 5. A license is a privilege and not a right. 2.010.2 6. I have no vested property rights in a license and I cannot assign or transfer a license issued to me. 2.010.2 7. A license is issued for no longer than 12 months and is subject to renewal requirements. 1.030.1; 2.120 8. A license is issued for a specific position and may not be transferred to another position. 1.030.1 9. I have the right to claim any privilege afforded by Colville law in refusing to answer questions. However, if I choose to exercise this right, my refusal to answer questions constitutes sufficient grounds for denial of a license. 2.020 10. It is my responsibility to be informed of Colville law and these regulations, currently in effect or as they may be amended. My ignorance of these laws and regulations will not excuse any violations and will not prevent appropriate prosecution, disciplinary action or licensing sanctions, including revocation of my license. 2.010.7 By applying for license: 1. I authorize the Commission to obtain and to rely on information pertaining to my eligibility to be an employee in Colville gaming operations. I understand that I do not have a right to see or otherwise obtain or access such information. 2.010.4; 2.030.2 2. I consent to the jurisdiction and decision-making authority of the Colville Tribal Gaming Commission. 2.010.5 3. I accept any risk of adverse public notice, embarrassment, criticism, or other action or financial loss and I expressly waive any claim for damages as a result. 2.010.3 4. I agree to be bound by the laws of the Confederated Tribes of the Colville Reservation in addition to the Colville Tribal Gaming Commission rules and regulations and I specifically consent to the jurisdiction of the Colville Tribal court system. 2.010.7 Revised: TGC 2024-153, 6-18-2024 18 of 22 5. I agree to be bound by applicable laws and regulations of the United States and the State of Washington. 1.010 6. I understand that the licensing process may also require approval by federal and/or state agencies. 2.050 Temporary permit If I am issued a temporary permit, I understand that this permit is subject to immediate revocation for failure to successfully complete a background and financial investigation and obtain a license. 2.080.2 Conditional license If I am issued a conditional license, I understand the following: 1. I am responsible for complying with conditions placed on my license. 2.090.2 2. I am responsible for providing information required to address ongoing issues of concern. 2.090.3 3. I am responsible for appearing before the Colville Tribal Gaming Commission before the expiration of my conditional license and providing any information required to address conditional issues. If I fail to do so, my conditional license will expire and will no longer be valid. 2.090.4 4. If I fail to comply with my license conditions, my license may be suspended or revoked. 2.090.5 Continuous duty to provide information If I am issued a license or a permit, I have a continuing duty to provide the following information to the Colville Tribal Gaming Commission: 2.110 1. Change of name, address, phone number or other licensing information. 2. Any occurrences which may reflect on my eligibility to be licensed under these regulations. 3. Any act or failure to act which I believe would constitute a violation of these regulations and/or Colville law. Suspensions/Revocations I understand that a license may be revoked or suspended for reasons deemed to be in the Tribal or public interest and for any other reason authorized by applicable tribal, federal, or state law and regulation. 3.010 Appeals I understand that I may have the right to appeal licensing decisions to the Colville Tribal Gaming Commission. In accordance with Colville Tribal law, I also understand that I have the right to appeal a final decision by the Colville Tribal Gaming Commission to the Colville Tribal Court. CTC 6-5 (Gaming). Applicant Signature Date Print Applicant Name Revised: TGC 2024-153, 6-18-2024 19 of 22 Colville Tribal Gaming Commission 729 Jackson Street, P.O. Box 1647, Omak, WA 98841 (509) 422-7722 / (509) 422-7725 / (509) 422-7726 / Fax: (509) 422-7720 APPLICANT ASSURANCES I have received a copy of the Noncriminal Justice Applicant’s Privacy Rights. I have read the Rights and I understand them. I acknowledge, accept, and understand the following: 1. I have been provided written notification that my fingerprints will be used to check the criminal history records of the FBI. 2. If I have a criminal history record, the officials making a determination of my suitability for the job, license, or other benefit must provide me the opportunity to complete or challenge the accuracy of the information in the record. 3. I acknowledge that the procedures for obtaining a change, correction, or updating of my criminal history record are set forth at Title 28, Code of Federal Regulations (CFR), Section 16.30 through16.34. 4. I have the right to expect that officials receiving the results of the criminal history record check will use it only for authorized purposes and will not retain or disseminate it in violation of federal statute, regulation or executive order, or rule, procedure or standard established by the National Crime Prevention and Privacy Compact Council. (See 5 U.S.C. 552a(b); 28 U.S.C. 534(b); 42 U.S.C. 14616, Article IV(c); 28 CFR 20.21(c), 20.33(d) and 906.2(d).) 5. I have been informed that the Colville Tribal Gaming Commission’s policy does not permit us to provide you a copy of the record. You may obtain a copy of the record by submitting fingerprints and a fee to the FBI. Information regarding this process may be obtained at http://www.fbi.gov/about-us/cjis/background-checks. 6. If I decide to challenge the accuracy or completeness of my FBI criminal history record, I should send my challenge to the agency that contributed the questioned information to the FBI. Alternatively, you may send your challenge directly to the FBI. The FBI will then forward my challenge to the agency that contributed the questioned information and request the agency to verify or correct the challenged entry. Upon receipt of an official communication form that agency, the FBI will make any necessary changes/corrections to my record in accordance with the information supplied by that agency. (See 28 CFR 16.30 through 16.34.) Applicant Signature Date Print Applicant Name Revised: TGC 2024-153, 6-18-2024 20 of 22 Colville Tribal Gaming Commission 729 Jackson Street, P.O. Box 1647, Omak, WA 98841 (509) 422-7722 / (509) 422-7725 / (509) 422-7726 / Fax: (509) 422-7720 COLVILLE TRIBAL CREDIT REPORT REQUEST TO: Colville Tribal Credit ATTN: John Smith Jr. FAX #: (509) 634-4707 TITLE: Manager Background use only: DATE: TIME: FROM: TITLE: Licensing Analyst COMPANY: Colville Tribal Gaming Commission FAX #: (509) 422-7720 RE: Request for Colville Tribal Credit History COMMENTS: We are requesting a Colville Tribal Credit History print out for the following person: . (Fill In) Clearly Print Full Name Alias or Maiden Name: (Fill In) Please fax this information back to me at (509) 422-7720. If you have any questions you may contact Backgrounds at tribal extension #7722, 7725, or 7726. X: Date (Fill In) Revised: TGC 2024-153, 6-18-2024 X: Signature 21 of 22 (Fill In) TOTAL NUMBER OF PAGES: 1 Colville Tribal Gaming Commission 729 Jackson Street, P.O. Box 1647, Omak, WA 98841 (509) 422-7722 / (509) 422-7725 / (509) 422-7726 / Fax: (509) 422-7720 COLVILLE TRIBAL COURT CRIMINAL HISTORY REQUEST AND BACKGROUND INQUIRY For Records Clerk only: Information of person being cleared: Name: (Fill In) Last First Middle Alias or Maiden Name: (Fill In) DOB: (Fill In) SSN: (Fill In) I hereby authorize the Colville Tribal Court Records Clerk to release any criminal history maintained by your office to the Colville Tribal Gaming Commission’s Backgrounds Investigator. X: Date (Fill In) X: Signature (Sign) For Records Clerk only: Record Clerk’s Signature: DATE Revised: TGC 2024-153, 6-18-2024 Date: CHARGE 22 of 22 DISPOSITION --- Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/tribal%3Aconfederated_colville%3A7c4a7dfa52b429e6. Public record. Not legal advice.