Milpitas, CA · Santa Clara County
Bingo Game Application – Affidavit
Organizations seeking to conduct bingo games in Milpitas use this application to request a city license and provide information about their operations.
What this form is
The application requests a regular or limited bingo license and says a City Council license is required before bingo games are conducted. It asks for organization and officer details, game days and hours, the premises and equipment information, and details about people operating the games. Applicants must also provide an application fee and, when applicable, evidence of exempt status.
Who needs it
An organization planning to conduct bingo games in Milpitas needs to complete this application and obtain a City Council license before holding games.
How to submit it
Return the completed application to the City Clerk with the $10.00 application fee. The form lists City Hall at 455 E. Calaveras Blvd., Milpitas, CA 95035.
About notarization
This document is signed without a notary; the signer dates and signs the bank-account inspection consent, and no notarized or sworn attachment is specified.
How to submit this form
- 1
Download The Application
Download the Bingo Game Application – Affidavit PDF.
- 2
Complete The Application
Select a regular or limited license and fill in the requested organization, officer, game, premises, equipment, and operator details.
- 3
Gather Attachments
If applicable, attach copies of certificates or letters evidencing exempt status; use a separate sheet for officer details if needed.
- 4
Submit To The City Clerk
Return the application to the City Clerk with the $10.00 application fee.
Frequently asked questions
- Who uses the Bingo Game Application – Affidavit?
- An organization seeking a Milpitas license to conduct bingo games uses this application to provide information about its officers, operations, premises, equipment, and game operators.
- Do I need a notary for the Bingo Game Application – Affidavit?
- No. The form has no notary block; the signer dates and signs the bank-account inspection consent, and it specifies no notarized or sworn attachment.
- How do I submit the bingo game application?
- Return the completed application to the City Clerk with the $10.00 application fee. The form lists City Hall at 455 E. Calaveras Blvd., Milpitas, CA 95035.
- What attachments may the application require?
- If the organization is not a mobile home park association or senior citizens organization, attach copies of certificates or letters evidencing the specified exempt status. A separate sheet may be used for officer information.
Need something notarized?
This Bingo Game Application – Affidavit doesn’t need a notary — but if you have another Milpitas form that does, a commissioned online notary can help.