Bellflower, CA · Los Angeles County
Bingo License Application
Eligible organizations use this application to request a new or renewed Bellflower license to conduct bingo games for charitable purposes.
What this form is
This application is for eligible organizations seeking a new or renewed city license to conduct bingo games in Bellflower. It asks for organization and officer details, game location and schedule, occupancy and parking information, and the charitable purpose and share of gross proceeds. The form also includes an authorization agreement and requires the annual license fee and specified proof of ownership and tax exemption.
Who needs it
An eligible organization seeking to conduct bingo games in Bellflower for charitable purposes must complete this application for a new license or renewal.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; it includes a declaration under penalty of perjury, but identifies no separate notarized attachment.
How to submit this form
- 1
Download The Application
Download the Bingo License Application PDF.
- 2
Complete The Application
Select new or renewal and provide the organization, officer, game location, schedule, and charitable-purpose information requested.
- 3
Gather Required Documents
Include the annual license fee, proof of License of Ownership, and the specified tax-exemption certification or other proof of exemption.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who can apply for a Bellflower bingo license?
- The form describes eligible organizations, including specified tax-exempt organizations, mobile home park associations, and senior citizen organizations, when bingo proceeds are used only for charitable purposes.
- What must accompany the Bingo License Application?
- The form says to submit the application with the annual license fee, proof of License of Ownership, and a Certification of Determination or Exemption or other proof of exemption.
- Do I need a notary for the Bingo License Application?
- No. The application has signature and date lines and a declaration under penalty of perjury, but no notary block or separate notarized attachment is identified.
- How do I submit the Bingo License Application?
- Submit it to the city department named on the form; check the city website for current contact details.