Berkeley Township, NJ · Ocean County
Application to Amend a License
This application requests an amendment to a bingo or raffle license and is filed by the licensed organization with the Municipal Clerk 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
Use this form to request changes to an existing license for bingo or raffles, identify the amendment, and provide the required proofs, signatures, and verifications. The applicant submits four copies to the Municipal Clerk in the municipality where the games will be conducted; one copy will be returned. The applicant’s registration slip must also be presented, and the statement on the reverse must be signed and notarized.
Who needs it
A licensed organization seeking to amend a bingo or raffle license files this application with the Municipal Clerk where it plans to conduct the games.
How to get this notarized
- 1
Download The Application
Get the Application to Amend a License and review both pages, including the sworn statement on the reverse.
- 2
Complete The Form
Enter the municipality and applicant details, describe the requested amendment, and gather the required proofs and registration slip.
- 3
Book An Online Notary
Arrange an online notarization for the sworn statement and check which officers and members-in-charge must sign.
- 4
Sign On Video
Each required signer signs the statement under oath during the notary session and follows the notary’s instructions.
- 5
Submit To The Municipal Clerk
Provide four copies and the registration slip to the Municipal Clerk where the games will be conducted.
Preview the form
The blank PDF straight from Berkeley Township. 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
- Who signs the statement on the reverse?
- The form provides signature lines for the officer and members-in-charge. The statement says they make the declarations under oath, so the signers complete it before the notary.
- How do I submit this license amendment application?
- Submit four copies to the Municipal Clerk in the municipality where the games will be conducted. Present the applicant’s registration slip with the application; one copy will be returned.
- Do I need to include the registration slip?
- Yes. The form says the applicant’s registration slip from the Legalized Games of Chance Control Commission must be presented to the Municipal Clerk with the application.
- Can I sign the sworn statement with an online notary?
- New Jersey has permanently authorized remote online notarization and remote ink notarization for its own notaries since October 2021 (P.L. 2021, c.179; N.J.S.A. 52:7-10.9 et seq.). A commissioned online notary can notarize remotely; confirm with the municipality if unsure.
