Valmeyer, IL · Monroe County
Application for Video Gaming License
Businesses use this application to request a Valmeyer video gaming license and list the terminals they plan to operate at the licensed establishment.
What this form is
The application collects the applicant’s name and contact details, business information, the number of video gaming terminals, and the licensed terminal operator’s information. It asks whether a license issued by a state, federal, or local authority was previously revoked and provides space for an explanation. Each terminal requires an individual license costing $25; approval, date, permit fee, and permit number fields are also included.
Who needs it
A business seeking a Valmeyer video gaming license uses this application to identify its applicant, terminal operator, and planned number of terminals.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
No notary is required; the applicant signs and dates the application, and no sworn or notarized attachment is identified.
How to submit this form
- 1
Download The Application
Download the Valmeyer Application for Video Gaming License PDF.
- 2
Complete Applicant Information
Enter applicant and business details, terminal count, and licensed operator information.
- 3
Answer The License Question
Indicate whether a license was previously revoked and provide the requested explanation if applicable.
- 4
Sign And Submit
Sign and date the application, then submit it to the city department named on the form.
Frequently asked questions
- Who uses the Valmeyer video gaming license application?
- A business seeking a video gaming license uses the application to provide applicant and operator information and list the number of terminals to be operated.
- What does the application ask for?
- It asks for applicant and business details, terminal count, operator information, and whether a license was previously revoked. It also has approval and permit fields.
- Do I need a notary for the Valmeyer video gaming license application?
- No. The applicant signs and dates the application; the form identifies no sworn or notarized attachment.
- How do I submit the 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 License doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.