Old Saybrook, CT · Middlesex County

Bingo Permit Application

This application lets a sponsoring organization request an Old Saybrook permit to conduct charitable bingo games and provide information about its officers, members, sessions, and premises.

At a glance

Issued by
City of Old Saybrook · Old Saybrook, Middlesex County, Connecticut
Notarization
Required: sign this form in front of a notary before filing it.
Official source
oldsaybrookct.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index
Detailed form~25 min to notarize
  • 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 asks the sponsoring organization to identify its officers and bingo members, select a permit class, describe planned sessions and their location, and provide required supporting materials. Old Saybrook’s instructions direct applicants to submit the completed application to the Old Saybrook Police Department and recommend filing at least ten days before an event to allow time for processing and permit issuance.

Who needs it

A sponsoring organization seeking an Old Saybrook permit for charitable bingo games must complete the application and provide the requested organization, officer, member, and session details.

Why it needs a notary

The application carries a jurat stating the signer appeared and swore to the statement’s truth; a ranking officer listed on the application signs before the notary.

How to get this notarized

  1. 1

    Download The Application

    Download the Bingo Permit Application and review its instructions and supporting-material requirements.

  2. 2

    Complete The Form

    Enter the organization, officer, member, permit, session, and premises information, and prepare the required supporting materials.

  3. 3

    Book An Online Notary

    Schedule a commissioned online notary to notarize the ranking officer’s statement.

  4. 4

    Sign On Video

    The ranking officer signs and swears to the statement during the online notary session.

  5. 5

    Submit To The City

    Mail the completed application and required materials to the Old Saybrook Police Department as directed by the form.

Preview the form

The blank PDF straight from Old Saybrook. Look it over, then upload your filled copy to start the notary session.

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Info

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 Old Saybrook bingo permit?
Complete the application with your organization, officers, members, permit class, session, and premises information. The instructions direct applicants to mail it to the Old Saybrook Police Department and recommend submitting it at least ten days before an event.
Do I need to sign the bingo application before a notary?
Yes. The form says a ranking officer must sign and date the application, and an authorized notary public must notarize it. It warns that applications without the required notary information will not be accepted.
Can I notarize this application online in Connecticut?
Connecticut authorizes its notaries to perform remote online notarizations under Public Act 23-28, codified at Conn. Gen. Stat. §3-95b, effective October 1, 2023. A commissioned online notary can notarize the signer’s oath by video.
What supporting materials does the application request?
The instructions call for a check for the applicable permit fee. The supplemental materials may include a voided check from the special bingo bank account for Class A or C applications and an original identifiable admission card, sheet, or ticket.
Where should I submit the completed application?
The application instructions direct applicants to mail the completed form to the Old Saybrook Police Department. For questions about submission details, confirm with the town clerk if unsure.

Bingo Permit Application in other Connecticut cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Bingo Permit Application?

Drop your email below, we’ll hand you straight to a licensed notary in the next session.