<p> Form J: Jackpot Change Request Form</p><p>1. Use this form for starting a jackpot, terminating a jackpot, changing the EGMs in a jackpot, changing jackpot parameters (using a new Jackpot VCGLR Approval No or Option Set or Variation), or requesting new jackpot display images. 2. Information for current approved jackpots and Jackpot Approval Numbers and Parameters is available by VCGLR. 3. Details of your venue jackpots can be found in the Jackpot Configuration Report of the iGEM System. 4. Ensure that you have listed the EGM details on the second page for Jackpot Start and Change EGM in Jackpot. 5. Send the completed Jackpot Change form to the IGS Help Desk at [email protected] or fax 03 9673 3999 at least 20 business days (28 days) before the change is needed. Warning: Changes to an EGM Triggered Jackpot may need Game changes and a master reset. You will need to complete the EGM and Game Change form and send to IGS with this form or lodge Scheduled Works for those EGMs in the iGEM System.</p><p>Date Requested: Date required: Special Requests: </p><p>Venue Details (must be supplied) Venue Number: Venue Name: Contact: Phone: Email: EGM Service Provider: . </p><p>Jackpot Details (must be supplied) Jackpot Name: Jackpot Manuf: Jackpot VCGLR Appr. No * : </p><p>Jackpot Type: E | M | F (put in circle or delete irrelevant types) Jackpot Option Set / Variation*: *Can be found on the VCGLR Approval form</p><p>Changes: (must be supplied - tick change type and fill in details)</p><p>Terminate Jackpot: Jackpot VCGLR Appr. No : Option Set / Variation: iGEM Jackpot ID*: .</p><p>Remaining Balance goes to: New Jackpot (details below) OR Other Existing Jackpot: iGEM Jackpot ID*: * can be found on iGEM Jackpot Reports Stop jackpot at Date Time </p><p>Start a Jackpot: Start at Date Time </p><p>OR </p><p>After Jackpot ends: provide old jackpot name old jackpot Approval No: </p><p>Display Start Value: Start up with min value OR Transfer from ended Jackpot: iGEM Jackpot ID: iGEM Jackpot ID from the ended Jackpot above. Must be same jackpot type & number of levels </p><p>Jackpot Pool Start Value: Start from zero OR Transfer from ended Jackpot: iGEM Jackpot ID: iGEM Jackpot ID from the ended Jackpot above. Must be same jackpot type & number of levels </p><p>Fixed Prize Jackpot Prize Code : (from jackpot supplier for a Fixed prize jackpot only) List Jackpot EGMs in next page </p><p>Change EGMs in Jackpot: List Jackpot EGMs in next page </p><p>New Jackpot Display Prize Images: Image / Prize Name: you must send the new image files to IGS Help Desk</p><p>Form J: Jackpot Change Request v1.0 | External | Confidential | 17 Oct 2012 Page 1 of 2 Attached: Jackpot Approval Form: . EGM List: . Jackpot Manuf. Submission From: . Other ______: . provide description Jackpot Change Request Form EGM List Floor EGM ID EGM Game Description Manufacturer +ADD to -REMOVE from Position (from the iGEM (from the iGEM reports or from your Jackpot (tick) Jackpot (tick) reports or from EGM Supplier) your EGM Supplier)</p><p>Form J: Jackpot Change Request v1.0 | External | Confidential | 17 Oct 2012 Page 2 of 2</p>