Adams County, IL · Adams County
Video Gaming License Application (Unincorporated Areas)
This application is for businesses seeking a video gaming license for premises in unincorporated Adams County, Illinois.
At a glance
- Issued by
- City of Adams County · Adams County, Adams County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- adamscountyil.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Businesses use this application to seek a new or renewed Adams County video gaming license for premises in unincorporated areas. It requests establishment, ownership, operator, terminal, licensing, and reference details, along with verified statements. Applicants must provide supporting materials such as a floor plan and the terminal operator’s certificate; renewal and certain new-establishment applications have additional report requirements.
Who needs it
A business seeking a new or renewed video gaming license for premises in unincorporated Adams County needs to complete this application.
How to submit it
Send the application to the Adams County Liquor Commissioner, c/o County Clerk, in Quincy, Illinois; checks are payable to the Adams County Clerk.
About notarization
This document is signed without a notary; its applicant affidavit is sworn and includes a notary-signature line.
How to submit this form
- 1
Download the Application
Download the Adams County video gaming license application for unincorporated areas.
- 2
Complete the Application
Fill in establishment, ownership, terminal, licensing, verified statement, and reference information.
- 3
Gather Supporting Documents
Attach the required certificate and floor plan, plus applicable renewal or new-establishment materials.
- 4
Submit to the County
Send the application to the Adams County Liquor Commissioner, c/o County Clerk, in Quincy, Illinois.
Frequently asked questions
- Do I need a notary for the Video Gaming License Application?
- No. This document is signed without a notary, though its applicant affidavit is sworn and includes a notary-signature line.
- Who uses this video gaming license application?
- Businesses seeking a new or renewed video gaming license for premises in unincorporated Adams County use this application.
- How do I submit the Video Gaming License Application?
- Send it to the Adams County Liquor Commissioner, c/o County Clerk, in Quincy, Illinois. Checks are payable to the Adams County Clerk.
- What supporting documents does the application request?
- The application requests a terminal operator's Illinois Gaming Board certificate of good standing and a scaled floor plan. Renewal and certain new-establishment applications require additional revenue or ownership materials.