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