Print
confidential
Certificate Request Form*
1. WLA member
WLA member
Address
(This address will be used to send the hard copies of the WLA-SCS certificate.)
Contact person
Email address
Phone number
2. MUSL Rule 2 Reviews
Systems and locations have undergone a MUSL Rule 2 Review in the past two years?
Yes
No
Date of the latest MUSL Rule 2 Review
3. Signature
WLA member
Date
Signature
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Space reserved for validation
Validation of the MUSL Rule 2 accreditation:
Recognized
Not recognized
Notes
* This form should be used by MUSL Rule 2 certified lotteries when requesting the WLA-SCS Level 1 certificate. It will be available until October 31, 2026. As of November 1, 2026, lotteries certified to MUSL Rule 2 must apply for certification, recertification, or annual reviews in accordance with
Part A, Section 5
of the GtC.
© WLA 2024 – Publication: October 2024, Version 8
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