Rockleigh, NJ · Bergen County
Application to Amend a License
This application requests an amendment to a bingo or raffle license and is submitted by the applicant to the municipal clerk in the municipality where the games will be conducted.
- 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
The form asks the applicant to identify the license and describe the requested amendment, then provide any additional proofs, signatures, and verifications required. The applicant submits four copies to the municipal clerk’s office in the municipality where the games will be conducted; one copy will be returned. The statement on the reverse must be signed and notarized, and an amended license replaces the original if the amendment is permitted.
Who needs it
An applicant seeking to amend a bingo or raffle license submits this application to the municipal clerk where the games will be conducted.
How to get this notarized
- 1
Download the Application
Download the Application to Amend a License from the Rockleigh municipal website.
- 2
Fill In the Application
Enter the municipality, applicant, license details, and requested amendment; attach any additional proofs, signatures, and verifications required.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary for the sworn statement on the reverse.
- 4
Sign on Video
The applicant and member or members in charge sign the statement under oath during the notarization.
- 5
Submit to the City
Submit four copies to the municipal clerk’s office where the games will be conducted.
Preview the form
The blank PDF straight from Rockleigh. 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 submit this license amendment application?
- Submit four copies to the municipal clerk’s office in the municipality where the games will be conducted. One copy will be returned.
- Do I need to sign the application in front of a notary?
- Yes. The form says the statement on the reverse must be signed and notarized; it includes a sworn-and-subscribed jurat for the applicant and member or members in charge.
- Can I complete the notarization online?
- New Jersey permanently authorized remote online notarization and remote ink notarization for its own notaries beginning in October 2021 (P.L. 2021, c.179; N.J.S.A. 52:7-10.9 et seq.). Confirm with the municipality if unsure.
- What happens if the amendment is approved?
- The form states that the original license will be returned in exchange for the amended license if the amendment is permitted.