Springfield, IL · Sangamon County

No notary required

Video Gaming Application

Businesses and individuals use this application to request a Springfield video gaming license or terminal registration.

What this form is

Use this application to request a video gaming terminal operator, establishment, or supplier license, or to register terminals. The form says the requested license must be issued before the business operates video gaming devices, and a $500 application fee must accompany the filing. It asks for business, applicant, and operating-hours information and requires the appropriate license application submitted to the Illinois Gaming Board plus a copy of the state video gaming license.

Who needs it

A proposed video gaming terminal operator, establishment owner, or supplier seeking a Springfield license, or a business registering terminals, needs this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document does not require a notary; it lists no sworn or notarized attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Springfield Video Gaming Application PDF.

  2. 2

    Complete The Application

    Provide the applicant and business information, operating hours, and terminal company operator name requested on the form.

  3. 3

    Gather Required Attachments

    Include the appropriate license application submitted to the Illinois Gaming Board and a copy of the state video gaming license.

  4. 4

    Submit The Application

    Submit the application with the $500 application fee to the city department named on the form.

Frequently asked questions

What does the Springfield Video Gaming Application request?
It requests a video gaming terminal operator, establishment, or supplier license, or registration stickers for terminals.
What attachments does the application require?
It requires a full copy of the appropriate license application submitted to the Illinois Gaming Board and a copy of the state video gaming license.
Do I need a notary for the Video Gaming Application?
No. The document does not require a notary and lists no sworn or notarized attachment; the signer just signs and dates it.
How do I submit the Video Gaming Application?
Submit it to the city department named on the form; check the city website for current contact details. The form says a $500 application fee must accompany the filing.

Need something notarized?

This Video Gaming Application doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.