335 lines
11 KiB
Markdown
335 lines
11 KiB
Markdown
```
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================================================================================
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FRATERNITY OF ORDER — DEPARTMENT OF CASINO REGULATION — FORM CM1-228
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REQUEST BY CASINO FOR INITIAL CONSULTATION FOR
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ACQUISITION OF CERTIFICATE OF FAIR PLAY
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================================================================================
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1. REGISTERED TAX ID NUMBER [___________] [ ] Planar [ ] Transitive
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2. DATE OF INCORPORATION [___-___/_/____]
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3. CERTIFYING AUTHORITY [__________________________________________________]
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4. CASINO LAND PLOT TOROIDAL COORDINATES [___-____.___/____.__]
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5. LIST ALL GAMES OF CHANCE, GAMES OF SKILL, AND HYBRID GAMES:
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[_________________________________________________________________________]
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[_________________________________________________________________________]
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6. HOUSE EDGE Declared: [________] % Observed: [________] %
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(Observed field to be completed by the Fraternity of Order)
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7. SUPERNATURAL INFLUENCES ON GAMING OUTCOMES
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Supernatural Influence Statistical Offset Ratio Deviance
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---------------------------- -------------------------- ----------
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[__________________________] [________________________] [________]
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[__________________________] [________________________] [________]
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[__________________________] [________________________] [________]
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8. NUMBER OF GAMING IMPLEMENTS CURRENTLY IN ROTATION
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Dice: [______] Cards: [______] Imp Bones: [______] Wheels: [______]
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Other (specify): [_________________________________]
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9a. HAS THIS CASINO EVER BEEN ACCUSED OF CHEATING?
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[ ] No [ ] Yes [ ] Pending [ ] Retroactively Yes
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9b. HAS THIS CASINO EVER BEEN CONVICTED OF CHEATING?
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[ ] No [ ] Yes [ ] Pending [ ] Retroactively Yes
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9c. HAS THIS CASINO EVER ADMITTED TO CHEATING?
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[ ] No [ ] Yes [ ] Pending [ ] Retroactively Yes
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9d. HAS THIS CASINO EVER CHEATED?
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[ ] No [ ] Yes [ ] Pending [ ] Retroactively Yes
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10. DISPUTE ARBITRATION PREFERENCE
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[ ] Civil Hearing
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[ ] Modron Arbitration
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[ ] Trial by Precedent
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11. OPTIONAL SERVICES
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[ ] Expedited Processing (500 gp, non-refundable, non-binding)
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[ ] Translation Services (50 gp) Language: [______________________]
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[ ] Document Disposal (1 gp)
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12. SIGNATURE OF AUTHORIZED CASINO REPRESENTATIVE
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Signature: [___________________________] Date: [___________]
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Name (Print): [_________________________] Title: [___________]
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--------------------------------------------------------------------------------
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FOR FRATERNITY OF ORDER USE ONLY
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Application Status: [ ] Incomplete [ ] Returned [ ] Misfiled [ ] Under Review
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Assigned Clerk: [___________] Sub-Office: [___________] Stamp: [ ]
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--------------------------------------------------------------------------------
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IMPORTANT NOTICES AND STATUTORY DISCLAIMERS (READ IN FULL)
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A. Submission of this document does not constitute an application, request,
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petition, inquiry, or guarantee of consultation. Documents deemed improper,
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incomplete, excessive, or contextually inappropriate may be returned,
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retained, or archived without notice.
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B. All fields must be completed. If a field is not applicable, the applicant
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must enter "N/A" and complete Form NAA-44 (Statement of Non-Applicability).
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Failure to do so renders this document void.
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C. Any false, misleading, speculative, paradoxical, or retroactively inaccurate
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statement constitutes a material violation of Fraternity of Order Code
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S17.4(c), irrespective of intent, awareness, or causal displacement.
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D. Declared values may be compared against observed values. Discrepancies
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exceeding acceptable variance thresholds shall be presumed intentional
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unless demonstrated to be mathematically impossible. Impossibility does not
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preclude enforcement.
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E. "Supernatural Influence" includes, but is not limited to: deities, demigods,
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fiends, celestials, inevitables, modrons, probability anomalies, curses,
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blessings, fate effects, narrative causality, observer bias, and planar
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drift.
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F. Selection of Modron Arbitration constitutes acceptance of all rulings,
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determinations, pre-determinations, and pre-recorded outcomes, whether
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delivered before, during, or after proceedings.
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G. Expedited Processing expedites internal handling only. It does not affect
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evaluation priority, approval likelihood, accuracy, impartiality, or
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outcome.
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H. Improperly filed documents may be reclassified, reassigned, or archived
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under unrelated docket numbers at the discretion of the reviewing clerk.
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I. Submission of this document constitutes consent to audits past, present,
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future, alternate, hypothetical, counterfactual, and conditionally
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impossible.
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J. Appeals must be filed within ten (10) business days of notification.
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Notification is deemed to occur when a duly authorized clerk reasonably
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concludes that notice was provided.
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================================================================================
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FRATERNITY OF ORDER — PERSONNEL OVERSIGHT AND CONTINUITY OFFICE — FORM XP3-907
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REQUEST FOR TEMPORARY ABSENCE DUE TO
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CREDIBLE THREAT TO LIFE
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================================================================================
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1. EMPLOYEE NAME [_Rennick_______________________________]
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2. EMPLOYEE IDENTIFICATION NUMBER [_6_0_5_3_7_1___________________________]
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3. DEPARTMENT / DIVISION [_Department_of_Casino_Regulation________]
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4. POSITION TITLE [_Casino_Investigator_and_Theoretical____]
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[_Fortunologist__________________________]
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5. REASON LIFE IS THREATENED [_Discovery_of_Dangerous_Technology______]
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(Concise, factual, non-emotive statement required)
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6. KNOWN INDIVIDUALS / ORGANIZATIONS CAUSING THREAT
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[_Sergei_Pavel,_Xaositect_(possibly_other_Xaositects)___________________]
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[_Crow,_Incantifer______________________________________________________]
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[_______________________________________________________________________]
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(List all confirmed, suspected, or statistically probable sources)
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7. NATURE OF THREAT
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[X] Physical Harm
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[X] Assassination
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[ ] Planar Displacement
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[X] Enslavement
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[ ] Other: [___________________________]
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8. INTENDED PLACE OF HIDING
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[_______________________________________________________________________]
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[X] Location Classified (see Form CL-11, not attached)
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9. EXPECTED DURATION OF ABSENCE [________] days [X] Indefinite
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10. ARE YOU EXPECTING TO BE PAID DURING THIS PERIOD?
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[X] Yes (Standard)
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[ ] Yes (Hazard Adjusted)
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[ ] No
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[ ] To Be Determined Retroactively
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11. PERSON DELEGATED TO HANDLE YOUR MAIL
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Name: [_Bob_____________________________________________________________]
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12. TRANSFER OF ONGOING CASES AND RESPONSIBILITIES
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[X] Complete
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[ ] Partial (explain): [________________________________________________]
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[ ] Not Applicable
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13. COMMUNICATION PREFERENCE DURING ABSENCE
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[X] No Contact
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[ ] Emergency Only
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[ ] Written Correspondence
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[ ] Messages via Intermediary
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14. PERSONS THAT SHOULD BE ASSISTED IN FINDING YOU
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[_Lada,_Halfling_Priestess_of_Tymora,_Theoretical_Fortunologist_________]
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[_______________________________________________________________________]
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15. ACKNOWLEDGMENT OF OBLIGATIONS
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[X] I acknowledge that failure to return at the stated time may result
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in disciplinary review, reclassification, or posthumous notation.
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16. EMPLOYEE SIGNATURE
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Signature: [_Rennick________] Date: [_I_207882______]
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--------------------------------------------------------------------------------
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FOR FRATERNITY OF ORDER USE ONLY
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Threat Credibility Assessment:
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[ ] Minimal [ ] Moderate [X] Severe [ ] Statistically Inevitable
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Protective Leave Authorized:
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[X] Yes [ ] Yes (Conditional) [ ] Deferred [ ] Denied
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Authorizing Official:
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Name: [_Hazel_Senjen__________________________]
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Title: [_Section_Chief,_Casino_Regulation_______]
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--------------------------------------------------------------------------------
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IMPORTANT NOTICES
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A. Protective Leave does not imply endorsement of employee conclusions.
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B. Classification of location does not exempt the employee from recall,
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audit, or subpoena.
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C. Compensation determinations may be revised upon employee return,
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non-return, or death.
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D. Failure to correctly identify threats does not invalidate this request,
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but may affect subsequent liability determinations.
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================================================================================
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FRATERNITY OF ORDER — OFFICE OF ETHICAL COMPLIANCE AND RECUSAL — FORM COI-441
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AUTHORIZATION TO VISIT PLACE OF BUSINESS
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DESPITE REGULATORY CONFLICT OF INTEREST
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================================================================================
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1. EMPLOYEE NAME [_Rennick_______________________________]
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2. EMPLOYEE IDENTIFICATION NUMBER [_6_0_5_3_7_1___________________________]
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3. DEPARTMENT / DIVISION [_Department_of_Casino_Regulation________]
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4. POSITION TITLE [_Casino_Investigator_and_Theoretical____]
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[_Fortunologist__________________________]
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5. PLACE OF BUSINESS TO BE VISITED [_The_Golden_Hoard______________________]
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6. PURPOSE OF VISIT
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(Select all that apply)
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[ ] Personal
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[X] Informational
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[ ] Social
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[X] Logistical
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[ ] Other (specify): [_________________________________]
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7. CERTIFICATION OF NON-REGULATORY INTENT
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I certify that I will not, during this visit, engage in:
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[X] Inspection
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[X] Audit
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[X] Advisory Commentary
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[X] Enforcement Action
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[X] Informal Guidance
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[X] Retroactive Interpretation
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8. EXPECTED DURATION ON PREMISES [_2_] hours
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9. DISCLOSURE OF POTENTIAL BENEFIT
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(Include favors, debts, or future expectations)
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[_Show_producer_may_have_information_which_may_pertain_to_my_safety______]
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10. RECUSAL ACKNOWLEDGMENT
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[X] I acknowledge that this visit may require temporary or permanent
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recusal from regulatory decisions involving this entity.
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11. EMPLOYEE SIGNATURE
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Signature: [_Rennick________] Date: [_I_207880______]
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--------------------------------------------------------------------------------
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FOR FRATERNITY OF ORDER USE ONLY
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Conflict Severity Assessment:
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[ ] Negligible [ ] Manageable [X] Significant [ ] Structurally Unavoidable
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Authorization Status:
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[ ] Approved
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[X] Approved with Conditions (see attached)
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[ ] Deferred Pending Review
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[ ] Denied
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Conditions Imposed (if any):
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[_Recusal_from_future_regulatory_operations_____________________________]
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Authorizing Official:
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Name: [_Bob___________________________________________]
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Title: [_Personnel_Officer,_Casino_Regulation___________]
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--------------------------------------------------------------------------------
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IMPORTANT NOTICES AND DISCLOSURES
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A. Approval of this form does not constitute a waiver of ethical standards.
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B. Any regulatory action taken during or after the visit will be presumed
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influenced unless proven otherwise by clear documentation.
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C. Failure to disclose material benefits, including information or protection,
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constitutes a violation of Fraternity of Order Ethics Code S9.2.
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D. This authorization is a matter of public record and may be reviewed,
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audited, or cited in unrelated proceedings.
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E. Revocation of authorization may occur retroactively.
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```
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