Vol. 32 Iss. 1 - September 07, 2015

Chapter 40

REGISTRAR'S NOTICE: The following forms used in administering the regulation were filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, General Assembly Building, 2nd Floor, Richmond, Virginia 23219.

Title of Regulation: 18VAC120-40. Virginia Professional Boxing and Wrestling Events Regulations.

Agency Contact: Kathleen R. Nosbisch, Executive Director, Professional Boxing, Wrestling and Martial Arts Advisory Board, Department of Professional and Occupational Regulation, 9960 Mayland Drive, Suite 400, Richmond, VA 23233, telephone (804) 367-8514, or email

FORMS (18VAC120-40)

Boxing and Wrestling Nonparticipant License Application, 41NPLIC (rev. 7/05).

Boxing and Wrestling Event Card Additions and Deletions Form, 41EVCHG (eff. 8/03).

Boxing and Wrestling Event Surety Bond Form, 41EVBOND (rev. 8/03).

Boxing and Wrestling Deposit Verification, 41DEPOSIT (rev. 8/03).

Boxing and Wrestling Promoter's Fee Report, 41PFRFIN (rev. 2/06).

Boxing Event License Application, 41BEVLIC (rev. 8/06).

Boxing License Application, 41BOXLIC (rev. 8/06).

Boxing Promoter License Application, 41BPRLIC (eff. 7/05).

Promoters Payout Report, 41PQYREP (rev. 4/06).

Wrestling Event License Application, 41WEVLIC (rev. 8/06).

Wrestling License Application, 41WLIC (rev. 8/06).

Wrestling Promoter License Application, 41WPRLIC (eff. 7/05).

Limited Boxing License Application, 41LTDBOXLIC (eff. 9/05).

Limited Wrestling License Application, 41LTDWLIC (eff. 9/05).

Martial Arts Boxing License Application, 41MALIC (eff. 8/06).

Wrestling License Application, A511-4101LIC-v2 (eff. 1/2015)

Boxing License Application, A511-4102LIC-v2 (eff. 1/2015)

Boxing Manager/Matchmaker License Application, A511-4103_04LIC (eff. 9/2012)

Trainer, Second or Cut Man License Application, A511-4105LIC-v2 (eff. 1/2015)

Wrestling Promoter License Application, A511-4106LIC-v2 (eff. 9/2013)

Wrestling Event License Application, A511-4107LIC-v2 (eff. 1/2014)

Boxing Event License Application, A511-4108LIC-v2 (eff. 1/2014)

Boxing Promoter License Application, A511-4110LIC-v1 (eff. 9/2012)

Limited (Temporary) Wrestling License Application, A511-4121LIC-v2 (eff. 1/2015)

Limited (Temporary) Boxing License Application, A511-4122LIC-v2 (eff. 1/2015)

Martial Arts Boxing License Application, A511-4123LIC-v2 (eff. 1/2015)

Amateur Boxing - Sanctioning Organization Approval Application, A511-4130AB_SO-v1 (eff. 10/2015)

Amateur Martial Arts - Sanctioning Organization Approval Application, A511-4130AMA_SOA-v1 (eff. 10/2015)

Amateur Event Notification Form, A511-4130EVE-v1 (eff. 10/2015)

Amateur Sanctioning Organization - Experience Verification Form, A511-4130EXP-v1 (eff. 10/2015)

Event Cash Bond Form, A511-41ECBOND (eff. 9/2012)

Event Surety Bond Form, A511-41EVBOND (eff. 9/2012)

Event Card Additions and/or Deletions Form, A511-41EVCHG (eff. 9/2012)

Promoter Payout Report, A511-41PAYREP (eff. 9/2012)

Promoter's Fee Report, A511-41PFR (eff. 9/2012)

Gate Fee Report, A511-41GFR-v2 (eff. 10/2015)

Criminal Conviction Reporting Form, A406-01CCR-v1 (eff. 5/2015)

Disciplinary Action Reporting Form, A406-01DAR-v1 (eff. 5/2015)

Denial of Licensure Reporting Form, A406-01DEN-v1 (eff. 5/2015)

VA.R. Doc. No. R16-4486; Filed August 8, 2015,