Hampshire, IL · Kane County
Application for Video Gaming Terminals (Large Truck Stop Establishment)
Large truck stop establishments use this application to request video gaming terminals from the Village of Hampshire and provide applicant, site, and terminal details.
What this form is
This application is for an establishment applying as a “Large Truck Stop Establishment” for video gaming terminals. It asks the applicant to check applicable establishment requirements, state the number and locations of requested terminals, and provide terminal operator and state license details. Applicants must attach a premises diagram, a copy of the Illinois Gaming Board license, and records confirming monthly diesel or bio-diesel fuel sales above 50,000 gallons when applicable.
Who needs it
A large truck stop establishment seeking video gaming terminals in Hampshire should complete this application and provide the requested supporting materials.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; attach the required sales records, premises diagram, and copy of the Illinois Gaming Board license.
How to submit this form
- 1
Download The Application
Download the Large Truck Stop Video Gaming Terminal Application PDF.
- 2
Complete The Application
Enter applicant contact details, check applicable establishment requirements, and provide the requested terminal and operator information.
- 3
Gather Attachments
Attach a premises diagram and Illinois Gaming Board license copy; include sales records if the stated monthly fuel-sales threshold applies.
- 4
Submit To The Village
Submit the completed application and attachments to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who uses the Large Truck Stop Video Gaming Terminal Application?
- A large truck stop establishment seeking video gaming terminals in Hampshire uses this application to provide applicant, establishment, and terminal information.
- What attachments does the application require?
- Attach a diagram of the premises showing terminal locations and a copy of the Illinois Gaming Board license. If monthly diesel or bio-diesel sales exceed 50,000 gallons, attach records confirming those sales.
- Do I need a notary for the Large Truck Stop Video Gaming Terminal Application?
- No. The application is signed and dated without a notary. Attach the required sales records, premises diagram, and copy of the Illinois Gaming Board license.
- How do I submit the Large Truck Stop Video Gaming Terminal Application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Application for Video Gaming Terminals (Large Truck Stop Establishment) doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.