Centralia, IL · Marion County
Raffle and Poker Run Permit Application
Organizations use this application to seek a City of Centralia license for a raffle or poker run and provide event and organization details.
What this form is
This application is for an organization seeking a City of Centralia license to conduct a raffle or poker run. It asks for organization and applicant details, the manager’s contact information, event location, and raffle-specific information such as ticket sale dates and the maximum number of chances. The application says to attach a sworn statement about the organization’s not-for-profit character.
Who needs it
An organization seeking a City of Centralia license for a raffle or poker run should complete and file this application.
How to submit it
File the application with the Office of the City Clerk at 101 South Locust, Centralia, Illinois 62801. The form lists a $50 annual fee or a $15 event fee.
About notarization
This application is signed and dated without a notary; it requires an attached sworn statement from the organization’s presiding officer or secretary about its not-for-profit character.
How to submit this form
- 1
Download The Application
Download the Raffle and Poker Run Permit Application PDF.
- 2
Complete The Application
Provide the requested organization, applicant, manager, and event information, then select raffle or poker run and the applicable fee type.
- 3
Gather The Required Attachment
Attach a copy of the sworn statement about the organization’s not-for-profit character from its presiding officer or secretary.
- 4
Sign And Submit
Sign and date the application, then file it with the Office of the City Clerk at 101 South Locust, Centralia, Illinois 62801.
Frequently asked questions
- Do I need a notary for the Raffle and Poker Run Permit Application?
- No. The application is signed and dated without a notary. It does require an attached sworn statement from the organization’s presiding officer or secretary about its not-for-profit character.
- How do I submit the Raffle and Poker Run Permit Application?
- File it with the Office of the City Clerk at 101 South Locust, Centralia, Illinois 62801. The form lists a $50 annual fee or a $15 event fee.
- What information does the application request?
- It asks for organization, applicant, and manager details; event location; and, for a raffle, ticket sale dates, the maximum number of chances, and where winning chances will be determined.
- What attachment does the application require?
- Attach a copy of a sworn statement by the organization’s presiding officer or secretary attesting to the organization’s not-for-profit character.
Need something notarized?
This Raffle and Poker Run Permit Application doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.