Shelton, CT · Fairfield County
Application for Permit to Conduct Bingo Charitable Games
This application requests a permit to conduct bingo charitable games and is completed by an organization seeking approval, including its ranking officer and designated member in charge.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The form collects the organization’s identifying details, officers, members with personal identification numbers, proposed bingo dates and times, venue information, and permit class. The ranking officer makes a sworn statement about compliance with bingo requirements, and the member in charge provides a separate undertaking. Applicants must complete the form, attach the required materials, and mail it to the destination specified by the issuing office.
Who needs it
An organization seeking a permit to conduct bingo charitable games should complete this application with its ranking officer and designated member in charge.
Why it needs a notary
The ranking officer signs the sworn statement before the notary, who completes the “Personally appeared” oath block and commission-expiration field.
How to get this notarized
- 1
Download the Application
Get the bingo charitable games permit application and review its instructions and attachment requirements.
- 2
Complete the Form
Enter the organization, officer, member, permit, schedule, and venue details, and prepare the required attachments.
- 3
Book an Online Notary
Schedule a session for the ranking officer’s sworn statement with a commissioned online notary.
- 4
Sign on Video
The ranking officer signs the sworn statement during the online session and completes the notarial process.
- 5
Mail the Application
Attach the required materials and mail the completed application to the destination specified by the issuing office.
Preview the form
The blank PDF straight from Shelton. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I get the ranking officer’s statement notarized?
- Complete the application, then have the ranking officer sign the sworn statement during an online notarization session with a commissioned online notary.
- Do I need to notarize the member-in-charge statement too?
- The form’s notary block follows the ranking officer’s sworn statement. The member-in-charge section has a separate signature line but no notary block shown in the form text.
- Can this application be notarized online in Connecticut?
- Connecticut authorizes its notaries to perform remote online notarizations. Conn. Gen. Stat. §1-57 recognizes notarial acts performed outside Connecticut by an officer authorized where the act occurs.
- Where do I send the completed application?
- The form says to mail the completed application, but its “TO” destination is blank in the provided text. Check the instructions from the issuing office; confirm with the town clerk if unsure.
Other forms in Shelton
Application for Permit to Conduct Bingo Charitable Games in other Connecticut cities
Each city publishes its own version of this form. Pick the city where you’re filing.