All licensing forms

Form number

Form GC4-101

Form Summary

Use this form when requesting signature for an unsigned or signed by incorrect individual application.

For licensee type

Current licensee, New applicant

Entity type

Individual, Organization

License Type

Class III, Commercial, Nonprofit

Form number

Form GC4-021

Form Summary

Use this form to Disclose your Ownership / Organization structure

For licensee type

Current licensee, New applicant

Entity type

Organization

License Type

Commercial

Form number

Form GC4-010-pkt

Form Summary

Use these forms if you are a nonprofit organization wanting to Conduct Bingo at Agricultural Fairs only. This packet contains all forms needed for a complete application.

For licensee type

New applicant

Entity type

Organization

License Type

Nonprofit

Form number

Form GC4-010

Form Summary

Use this form if you are a nonprofit organization wanting to Conduct Bingo at Agricultural Fairs only

For licensee type

New applicant

Entity type

Organization

License Type

Nonprofit

Form number

Form GC4-009a

Form Summary

Use this form if you are a Commercial Business wanting to Conduct Bingo at Agricultural Fairs only

For licensee type

New applicant

Entity type

Organization

License Type

Commercial

Form number

Form GC4-009-pkt

Form Summary

Use these forms if you are a Commercial Business wanting to Conduct Bingo at Agricultural Fairs only. This packet contains all forms needed for a complete application.

For licensee type

New applicant

Entity type

Organization

License Type

Commercial

Form number

Form BLS-700-301

Form Summary

Use this form to report your personal and criminal history information.

For licensee type

Current licensee, New applicant

Entity type

Organization

License Type

Commercial, Nonprofit

Form number

Form GC4-029a-pkt

Form Summary

Use these forms if you are adding a new activity to your current Charitable / Nonprofit Organization license. This packet contains all forms needed for a complete application.

For licensee type

Current licensee

Entity type

Organization

License Type

Nonprofit

Form number

Form GC4-030a-pkt

Form Summary

Use these forms if you are adding a new activity to your current commercial business license. This packet contains all forms needed for a complete application.

For licensee type

Current licensee

Entity type

Organization

License Type

Commercial

Form number

Form GC4-028e-pkt

Form Summary

Use these forms if you are applying for a Charitable / Nonprofit Organization Punch Board / Pull-Tab. This packet contains all forms needed for a complete application.

For licensee type

New applicant

Entity type

Organization

License Type

Nonprofit

Form number

Form GC4-025a3-pkt

Form Summary

Use these forms if you are applying for a Commercial Business Punch Board / Pull-Tab. This packet contains all forms needed for a complete application.

For licensee type

New applicant

Entity type

Organization

License Type

Commercial

Form number

Form GC4-025a

Form Summary

Use this form, along with the Commercial Business Application, to add punch board / pull-tab activity to your license

For licensee type

Current licensee

Entity type

Organization

License Type

Commercial, Nonprofit