West Orange, NJ · Essex County

Application for a Bingo License

This application requests a bingo license and is filed with the Municipal Clerk by an organization planning to conduct bingo games in the municipality.

Detailed form~25 min to notarize
  • 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 application collects the organization’s details, proposed game dates and location, expenses, intended use of proceeds, prizes, officers, and members who will conduct the games. The applicant and members in charge make sworn statements about the application and the organization’s eligibility; submit four copies to the Municipal Clerk, along with the applicant’s registration slip from the Legalized Games of Chance Control Commission.

Who needs it

An organization planning bingo games must complete this application and submit it to the Municipal Clerk in the municipality where the games will take place.

Why it needs a notary

The form has a sworn-and-subscribed jurat; the officer and members in charge signing the applicant’s statement must swear before the notary.

How to get this notarized

  1. 1

    Download the Application

    Get the Application for a Bingo License and review its sections and signature requirements.

  2. 2

    Fill Out the Form

    Enter the organization, game, expense, proceeds, prize, officer, and member details; gather any required attachments.

  3. 3

    Book an Online Notary

    Arrange a session with a commissioned online notary for the sworn statement.

  4. 4

    Sign on Video

    The officer and members in charge sign and swear to the statement during the notarial session.

  5. 5

    Submit to the City

    Submit four copies and the required registration slip to the Municipal Clerk where the games will be conducted.

Preview the form

The blank PDF straight from West Orange. Look it over, then upload your filled copy to start the notary session.

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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 bingo license application notarized?
Complete the application, then book a commissioned online notary. The officer and members in charge sign and swear to the statement during the notarization.
Do I need to submit four copies?
Yes. The form instructs applicants to submit four copies to the Municipal Clerk in the municipality where the games will be conducted.
Can I sign the application online?
New Jersey has permanently authorized remote online notarization and remote ink notarization for its own notaries since October 2021. A notarial act performed in another state by an authorized officer has the same effect under N.J.S.A. 52:7-10.14.
What else should I submit with the application?
The form says the applicant’s registration slip from the Legalized Games of Chance Control Commission must be presented to the Municipal Clerk. If renting the premises, attach Form 10, Statement of Landlord.
Where do I file the completed application?
Submit four copies to the Municipal Clerk in the municipality where the bingo games will take place; confirm with the municipality if unsure.

Application for a Bingo License in other Essex County cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Application for a Bingo License?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.