Columbia, IL · Monroe County
Raffle License Application
This four-page application lets a nonprofit organization request a Columbia raffle license by providing organization, officer, raffle, and prize details for the City Clerk’s Office.
- 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 application collects information about the organization and the people responsible for conducting the raffle, along with prize values, ticket limits, sales areas, and drawing details. The city instructs applicants to complete all four pages, have the appropriate pages notarized, and submit the application and nonrefundable fee to the City Clerk’s Office. The office says it will notify applicants of license status within five working days after submission.
Who needs it
A nonprofit organization planning a raffle in Columbia needs this application completed and submitted to the City Clerk’s Office with the applicable fee.
Why it needs a notary
The form has two sworn-statement blocks: the presiding officer and secretary sign the page 3 statement, and the presiding officer signs the page 4 certification before a notary.
How to get this notarized
- 1
Download the Application
Get the four-page Raffle License Application from the City of Columbia.
- 2
Complete All Four Pages
Enter the organization, officer, raffle, prize, and drawing information requested on the form.
- 3
Book an Online Notary
Arrange remote notarization for the sworn statement and certification sections.
- 4
Sign on Video
The presiding officer and secretary complete their required signatures before the notary; the presiding officer also signs the certification.
- 5
Submit to the City
Return the completed application and applicable fee to the City Clerk’s Office.
Preview the form
The blank PDF straight from Columbia. Look it over, then upload your filled copy to start the notary session.
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
- Which parts of the raffle application need notarization?
- The form includes a sworn statement signed by the presiding officer and secretary, plus a certification signed by the presiding officer. Both sections have notary blocks.
- Who must sign before the notary?
- The presiding officer and secretary sign the page 3 sworn statement before the notary. The presiding officer also signs the page 4 certification before the notary.
- How do I submit the completed application?
- Complete all four pages, have the appropriate pages notarized, and return the application with the applicable nonrefundable fee to the City Clerk’s Office.
- Do I need to submit a fee with the application?
- Yes. The form says to submit the application fee with the completed application. The fee depends on the aggregate retail value of the prizes and is nonrefundable.
- Can I use remote online notarization for this form?
- Illinois authorizes electronic and remote notarization by its notaries and recognizes notarial acts performed outside Illinois by an officer authorized where the act takes place. Use a commissioned online notary and confirm with the city or village if unsure.
Other forms in Columbia
Raffle License Application in other Monroe County cities
Each city publishes its own version of this form. Pick the city where you’re filing.