Who should complete this application?

Terminal operators seeking to lease, maintain, operate, or place video gaming terminals in the Village use this form. Establishments applying for a license must meet the form’s stated Class A, B, or J liquor license eligibility.

What supporting documents does the application list?

The form lists a valid Illinois Gaming Board license, a valid Illinois liquor license, a site plan showing terminal locations and barriers, and a certificate of insurance naming the Village as additional insured.

How do I notarize the application online?

Complete the application and gather its attachments, then book a commissioned online notary. The principal owner, partner, or corporate president must sign the certification during the video session and take the oath or affirmation.

Do I need to sign in front of a notary?

Yes. The application ends with a “Subscribed and sworn to before me” jurat and a Notary Public line. The listed principal owner, partner, or corporate president signs the certification before the notary.

Can I use a remote online notary for this form?

Illinois authorizes its notaries to perform electronic and remote notarizations under 5 ILCS 312. Notarial acts performed outside Illinois are recognized when authorized where performed under 765 ILCS 30; confirm with the city or village if unsure.

South Chicago Heights, IL · Cook County

Video Gaming Terminal Operator’s License Application

This application is for businesses and terminal operators seeking a South Chicago Heights video gaming license; applicants provide business details, license information, required attachments, and a sworn certification.

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

Form previewView full PDF →

What this form is

Use this four-page application to request a video gaming terminal operator or establishment license in South Chicago Heights. It collects business, owner, terminal-location, and license information, asks about felony convictions, and lists supporting materials such as gaming and liquor licenses, a site plan, and insurance certificate. The form states that terminal operator licenses are annual and required before placing terminals in the Village; eligible establishment applicants must hold a Class A, B, or J liquor license.

Who needs it

Terminal operators seeking to place gaming terminals in the Village and eligible establishments applying for a license must complete this application.

Why it needs a notary

The form includes a “Subscribed and sworn to before me” jurat; the principal owner, partner, or corporate president signs the certification before the notary.

How to get this notarized

1
Download the Application
Download the four-page Video Gaming Terminal Operator’s License Application from the Village.
2
Complete the Form
Enter business, owner, license, and terminal information, answer the conviction question, and gather the listed supporting documents.
3
Book an Online Notary
Schedule a session with a commissioned online notary for the application’s jurat.
4
Sign During the Video Session
The principal owner, partner, or corporate president signs the certification and swears or affirms it before the notary.
5
Submit to the Village
Submit the completed application and supporting materials to the Village of South Chicago Heights.

Preview the form

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

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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

Who should complete this application?: Terminal operators seeking to lease, maintain, operate, or place video gaming terminals in the Village use this form. Establishments applying for a license must meet the form’s stated Class A, B, or J liquor license eligibility.
What supporting documents does the application list?: The form lists a valid Illinois Gaming Board license, a valid Illinois liquor license, a site plan showing terminal locations and barriers, and a certificate of insurance naming the Village as additional insured.
How do I notarize the application online?: Complete the application and gather its attachments, then book a commissioned online notary. The principal owner, partner, or corporate president must sign the certification during the video session and take the oath or affirmation.
Do I need to sign in front of a notary?: Yes. The application ends with a “Subscribed and sworn to before me” jurat and a Notary Public line. The listed principal owner, partner, or corporate president signs the certification before the notary.
Can I use a remote online notary for this form?: Illinois authorizes its notaries to perform electronic and remote notarizations under 5 ILCS 312. Notarial acts performed outside Illinois are recognized when authorized where performed under 765 ILCS 30; confirm with the city or village if unsure.

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Ready to notarize your Video Gaming Terminal Operator’s License Application?

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