Rock Island County, IL · Rock Island County

No notary required

Mechanical License Application

Businesses apply to the Rock Island County Clerk for licenses for mechanical amusement devices, providing business and applicant information and the number of each machine.

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

Use this application to request licenses for mechanical amusement devices, including pinball machines, pool tables, video games, electronic dart games, jukeboxes, and other specified machines. The form asks for the business name and address, applicant name and citizenship, machine counts, and principal officers’ names and addresses when the applicant is an organization. It says to include an annual license fee, with different per-machine amounts shown in the application and clerk-use section.

Who needs it

A business or applicant seeking licenses for mechanical amusement devices in Rock Island County should complete and sign this application.

How to submit it

Submit it to the county office named on the form; check the county website for current contact details. The form says to include a check or money order payable to the Rock Island County Clerk.

About notarization

This application is signed without a notary; the signer just signs and dates it, and the form does not identify any notarized or sworn attachment.

How to submit this form

  1. 1

    Download the Application

    Download the Mechanical License Application PDF.

  2. 2

    Complete the Application

    Print or type the requested information, including business details and the number of each device.

  3. 3

    Add Required Information

    If applying as an organization, provide the names and addresses of principal officers.

  4. 4

    Sign and Submit

    Sign the application and include the check or money order payable to the Rock Island County Clerk.

Frequently asked questions

Do I need a notary for the Mechanical License Application?
No. The application has a signature line but no notary block or notarized attachment; the applicant signs and dates the form.
How do I submit the Mechanical License Application?
The form names the County Clerk and says to include a check or money order payable to the Rock Island County Clerk. Check the county website for current submission details.
What information does the application request?
It requests business and applicant details, counts of each type of mechanical amusement device, and principal officers’ names and addresses if the applicant is an organization.
What is the license fee?
The application says to include an annual fee of $20 per machine, while the County Clerk’s section lists $25 per machine. Confirm the applicable amount with the county.

Need something notarized?

This Mechanical License Application doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.