East Hampton, CT · Middlesex County
Mechanical/Electronic Amusement Device License Application
This application is for East Hampton business operators and distributors seeking a license for mechanical or electronic amusement devices operated or displayed at a local business.
- 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
East Hampton’s Police Department application collects information about the applicant, business location, distributor, and amusement devices, along with applicable per-machine fees. Both the local business operator and the distributor must complete the application. The form states that permits are valid from January 1 through December 31 of each calendar year and includes an applicant acknowledgment and sworn notary section.
Who needs it
A local business operator and the distributor of coin-operated machines must complete this application when seeking an East Hampton license for covered amusement devices.
Why it needs a notary
The applicant signs before a notary, who completes the form’s “Subscribed and sworn to before me” jurat under penalty of false statement.
How to get this notarized
- 1
Download The Application
Get the Mechanical/Electronic Amusement Device License Application from the East Hampton website.
- 2
Complete The Form
Have both the local business operator and distributor complete the application, including business, machine, inventory, and fee details.
- 3
Book An Online Notary
Arrange a remote notarization for the applicant’s sworn signature.
- 4
Sign On Video
Sign the application during the online notary session so the notary can complete the jurat.
- 5
Submit To The City
Submit the completed application to the East Hampton Police Department.
Preview the form
The blank PDF straight from East Hampton. 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 apply for an East Hampton amusement device license?
- Complete the application as both the local business operator and distributor, provide the requested device and business details, sign before a notary, and submit it to the East Hampton Police Department.
- Do I need to sign this application before a notary?
- Yes. The form includes a jurat stating that the applicant’s signature is subscribed and sworn before a notary under penalty of false statement.
- Can I use an online notary for this application?
- Connecticut authorizes remote online notarization by its notaries under Public Act 23-28, codified at Conn. Gen. Stat. §3-95b. Ask the East Hampton Police Department whether it accepts this application after remote notarization.
- What fees and permit period does the form list?
- The form lists fees of $100 per machine for the specified device categories and a seasonal fee of $50 per machine. It states that permits are valid January 1 through December 31.