Rock Island County, IL · Rock Island County
Mechanical Amusement Device License Application
Businesses use this application to request Rock Island County licenses for mechanical amusement devices, including pinball machines, pool tables, video games, and jukeboxes.
At a glance
- Issued by
- City of Rock Island County · Rock Island County, Rock Island County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- rockislandcountyil.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application requests county licenses for mechanical amusement devices at a business. Applicants list machine types and quantities, provide business and applicant details, and identify principal officers and addresses when applying for a firm, corporation, partnership, or association. The form states an annual license fee of $20 per machine and includes county clerk processing fields.
Who needs it
A business seeking licenses for mechanical amusement devices should complete the application and list each machine type and quantity.
How to submit it
Submit the application to the Rock Island County Clerk. Include the required annual license fee of $20 for each machine; the form says checks or money orders payable to the Rock Island County Clerk are accepted.
About notarization
This document is signed and dated without a notary; the applicant signs the form and enters the application date.
How to submit this form
- 1
Download the Application
Download the Mechanical Amusement Device License Application PDF.
- 2
Complete the Application
Print or type the requested information, including business and applicant details and the types and quantities of machines.
- 3
Gather the Required Fee
Include the annual license fee of $20 for each machine; the form accepts a check or money order payable to the Rock Island County Clerk.
- 4
Submit to the County Clerk
Submit the completed, signed application and fee to the Rock Island County Clerk.
Frequently asked questions
- Do I need a notary for the Mechanical Amusement Device License Application?
- No. This application is signed and dated by the applicant without a notary; the form does not identify a notarized attachment or related step.
- How do I submit the Mechanical Amusement Device License Application?
- Submit the application to the Rock Island County Clerk. Include the required annual license fee of $20 per machine; the form accepts checks or money orders payable to the Rock Island County Clerk.
- What information does the application request?
- It requests the business name and address, applicant name and citizenship response, types and quantities of machines, and principal officers' names and addresses for a firm, corporation, partnership, or association.
- What is the license fee?
- The form states that the required annual license fee is $20 for each machine. It says checks or money orders payable to the Rock Island County Clerk are accepted.
