Leesville, LA · Vernon Parish
Gaming Permit Application
This four-page application is for organizations seeking a Leesville gaming permit and includes applicant, game, officer, operator, fee, and notarized affidavit information.
- 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
Organizations use this application to request a permit for games such as bingo, pull tabs, raffles, or casino night in Leesville. The packet calls for a $50 non-refundable fee and supporting materials, including a state charitable gaming license when applicable, tax-exempt certification, a Louisiana charter, member information, an audit agreement, criminal history waivers, and prize details; incomplete submissions may be refused.
Who needs it
An organization applying to conduct gaming in Leesville must complete the application, provide the listed attachments, and have an authorized applicant execute its affidavit before a notary.
How to get this notarized
- 1
Download the Application
Get the Leesville Gaming Permit Application packet and review its checklist and affidavit.
- 2
Complete the Application
Provide organization, applicant, game, bank, officer, and designated-operator information, and gather the listed attachments.
- 3
Book an Online Notary
Schedule an online notary appointment for the authorized applicant’s affidavit.
- 4
Sign on Video
The authorized applicant signs and swears or affirms to the affidavit before the notary during the video session.
- 5
Submit to Leesville
Submit the completed application, notarized affidavit, attachments, and $50 fee to the city as directed.
Preview the form
The blank PDF straight from Leesville. 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
- How do I get the gaming permit affidavit notarized?
- Complete the application, then book an online notary appointment. The authorized organization applicant signs and swears or affirms to the affidavit during the notarization.
- Do I need to attach supporting documents?
- Yes. The packet lists a charitable gaming license, tax-exempt certification, Louisiana charter, active-member list, audit agreement, criminal history waivers, ticket quantity, and current prices and prizes.
- Can I sign the affidavit with a commissioned online notary?
- Louisiana law gives a notarial act by a duly commissioned notary of another state the same force and effect as one performed by a notary commissioned in Louisiana. Confirm acceptance of remote notarization with the permit office if unsure.
- Where do I submit the completed application?
- The packet lists Leesville City Hall Planning and Zoning Department at 508 S. 5th St., Leesville, LA 71446. Contact the department with questions about submission.