Harrison Township, NJ · Gloucester County

Application for a Bingo License

This application requests a bingo license and is filed by an organization with the municipal clerk for the municipality where the games will take place.

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 information about the organization, bingo dates and location, planned expenses, use of proceeds, prizes, and members responsible for conducting the games. The organization also makes sworn statements about its activities and how it will use the proceeds. The form says to present the applicant’s registration slip from the Legalized Games of Chance Control Commission to the Municipal Clerk with the application; attach a landlord statement if renting the premises.

Who needs it

An organization seeking a license to conduct bingo games must complete this application and submit it with its registration slip to the Municipal Clerk.

Why it needs a notary

The form includes a state jurat stating the application is sworn and subscribed before a notary; the officer and member-in-charge sign the oath before the notary.

How to get this notarized

  1. 1

    Download the Application

    Get the Application for a Bingo License and any required attachments.

  2. 2

    Complete the Form

    Enter the organization, game, expense, proceeds, prize, and member information; prepare the registration slip and any applicable attachments.

  3. 3

    Book an Online Notary

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

  4. 4

    Sign on Video

    The officer and member-in-charge sign the oath during the online notarization session.

  5. 5

    Submit to the Municipality

    Present the notarized application and Commission registration slip to the Municipal Clerk.

Preview the form

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

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Info

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 session with a commissioned online notary. The officer and member-in-charge sign the oath during the video session, and you submit the notarized application with the registration slip to the Municipal Clerk.
Do I need to attach anything else to the application?
The form says to attach Form 10, “Statement of Landlord,” if the premises will be rented. It also asks applicants to attach a schedule of the games to be conducted and present the Commission registration slip.
Can I notarize this form remotely?
New Jersey has permanently authorized remote online notarization and remote ink notarization for its own notaries since October 2021 under P.L. 2021, c.179 and N.J.S.A. 52:7-10.9 et seq. Confirm with the municipality if unsure.
Where do I submit the completed application?
The form instructs applicants to present the registration slip from the Legalized Games of Chance Control Commission to the Municipal Clerk with the application.

Application for a Bingo License in other Gloucester 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.