22-25-31. Distributor personnel form--Verification. The distributor personnel form shall include the following information:
(1) The name of the person completing the form;
(2) The name of the distributor;
(3) The address, date of birth, and name of the spouse of the person completing the form;
(4) All other current occupations along with the employer's name, address, type of business, and the position held within that business;
(5) The names of any organizations conducting bingo or lotteries under the provisions of § 22-25-25 of which the person completing this form is a member;
(6) All criminal convictions, or pending criminal charges, if any, the dates of those convictions and the location of the court imposing sentence; and
(7) A list of all the places of residence in the last ten years.
Information on this form shall be verified under oath by the person completing it.

Source: SL 1988, ch 188, § 3.